UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

FORM 10-Q

[x]   
Quarterly Report Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934

For the Quarterly Period Ended September 30, 2016

or

[ ] 
Transition Report Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934
 
For the transition period from _____  to _____

Commission File Number 000-19364
 
HEALTHWAYS, INC.
(Exact Name of Registrant as Specified in its Charter)

Delaware
 
62-1117144
(State or Other Jurisdiction of Incorporation or Organization)
 
(I.R.S. Employer  Identification No.)

701 Cool Springs Boulevard, Franklin, TN  37067
(Address of Principal Executive Offices) (Zip Code)

615-614-4929
(Registrant's Telephone Number, Including Area Code)

 
(Former name, former address and former fiscal year, if changed since last report)

Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days.

Yes
 
No
 
Indicate by check mark whether the registrant has submitted electronically and posted on its corporate Web site, if any, every Interactive Data File required to be submitted and posted pursuant to Rule 405 of Regulation S-T (§ 232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit and post such files).

Yes
 
No
 
Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, or a smaller reporting company. See definitions of "large accelerated filer," "accelerated filer" and "smaller reporting company" in Rule 12b-2 of the Exchange Act.
 
Large accelerated filer   
 
Accelerated filer
 
 
 
Non-accelerated filer  
(Do not check if a smaller reporting company)
Smaller reporting company

Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act).

Yes
 
No

As of October 31, 2016, there were outstanding 38,683,375 shares of the registrant's common stock, par value $.001 per share ("common stock").
 
1

Healthways, Inc.
Form 10-Q
Table of Contents

 
 
 
Page
Part I
 
 
 
 
Item 1.
Financial Statements
3
 
Item 2.
Management's Discussion and Analysis of Financial Condition and Results of Operations
28
 
Item 3.
Quantitative and Qualitative Disclosures About Market Risk
43
 
Item 4.
Controls and Procedures
43
Part II
 
 
 
 
Item 1.
Legal Proceedings
44
 
Item 1A.
Risk Factors
45
 
Item 2.
Unregistered Sales of Equity Securities and Use of Proceeds
47
 
Item 3.
Defaults Upon Senior Securities
47
 
Item 4.
Mine Safety Disclosures
47
 
Item 5.
Other Information
47
 
Item 6.
Exhibits
48

 
2

Part I

Item 1.
Financial Statements

HEALTHWAYS, INC.
CONSOLIDATED BALANCE SHEETS
(In thousands)
(Unaudited)

ASSETS

 
 
September 30, 2016
 
 
December 31, 2015
 
Current assets:
 
 
 
 
 
 
Cash and cash equivalents
 
$
727
 
 
$
233
 
Accounts receivable, net
 
 
56,718
 
 
 
50,608
 
Prepaid expenses
 
 
3,410
 
 
 
7,662
 
Other current assets
 
 
1,028
 
 
 
2,508
 
Income taxes receivable
 
 
175
 
 
 
257
 
Deferred tax asset
 
 
 
 
 
7,717
 
Current assets held for sale within discontinued operations 
 
 
 
 
 
65,802
 
Total current assets
 
 
62,058
 
 
 
134,787
 
 
 
 
 
 
 
 
 
 
Property and equipment:
 
 
 
 
 
 
 
 
Leasehold improvements
 
 
12,478
 
 
 
27,674
 
Computer equipment and related software
 
 
23,844
 
 
 
33,496
 
Furniture and office equipment
 
 
11,217
 
 
 
13,512
 
Capital projects in process
 
 
418
 
 
 
1,089
 
 
 
 
47,957
 
 
 
75,771
 
Less: accumulated depreciation
 
 
(39,636
)
 
 
(53,753
)
 
 
 
8,321
 
 
 
22,018
 
 
 
 
 
 
 
 
 
 
Other assets
 
 
6,700
 
 
 
509
 
Cash convertible notes hedges     73,869       12,632  
Intangible assets, net
 
 
29,136
 
 
 
29,526
 
Long-term deferred tax asset     69,785      
Goodwill, net
 
 
334,680
 
 
 
336,974
 
Long-term assets held for sale within discontinued operations 
 
 
 
 
 
176,478
 
 
 
 
 
 
 
 
 
 
Total assets
 
$
584,549
 
 
$
712,924
 

See accompanying notes to the consolidated financial statements.

3

HEALTHWAYS, INC.
CONSOLIDATED BALANCE SHEETS
(In thousands, except share and per share data)
(Unaudited)

LIABILITIES AND STOCKHOLDERS' EQUITY

 
 
September 30, 2016
 
 
December 31, 2015
 
Current liabilities:
 
 
 
 
 
 
Accounts payable
 
$
25,181
 
 
$
21,184
 
Accrued salaries and benefits
 
 
15,520
 
 
 
7,240
 
Accrued liabilities
 
 
36,165
 
 
 
28,384
 
Deferred revenue
 
 
182
 
 
 
125
 
Contract billings in excess of earned revenue
 
 
587
 
 
 
101
 
Current portion of long-term debt
 
 
52,654
 
 
 
23,308
 
Current portion of long-term liabilities
 
 
8,209
 
 
 
6,204
 
Current liabilities held for sale within discontinued operations
 
 
 
 
 
75,644
 
Total current liabilities
 
 
138,498
 
 
 
162,190
 
 
 
 
 
 
 
 
 
 
Long-term debt
 
 
197,774
 
 
 
208,289
 
Long-term deferred tax liability
 
 
 
 
 
23,617
 
Cash conversion derivative     73,869       12,632  
Other long-term liabilities
 
 
11,836
 
 
 
25,606
 
 
 
 
 
 
 
 
 
 
Stockholders' equity:
 
 
 
 
 
 
 
 
Preferred stock $.001 par value, 5,000,000 shares authorized, none outstanding
 
 
 
 
 
 
Common stock $.001 par value, 120,000,000 shares authorized, 37,749,070 and 36,079,446 shares outstanding, respectively
 
 
37
 
 
 
36
 
Additional paid-in capital
 
 
320,079
 
 
 
302,488
 
(Accumulated deficit) retained earnings
 
 
(126,352
)
 
 
9,659
 
Treasury stock, at cost, 2,254,953 shares in treasury
 
 
(28,182
)
 
 
(28,182
)
Accumulated other comprehensive loss
 
 
(3,135
)
 
 
(4,087
)
Total Healthways, Inc. stockholders' equity
 
 
162,447
 
 
 
279,914
 
Non-controlling interest
 
 
125
 
 
 
676
 
Total stockholders' equity
 
 
162,572
 
 
 
280,590
 
 
 
 
 
 
 
 
 
 
Total liabilities and stockholders' equity
 
$
584,549
 
 
$
712,924
 

See accompanying notes to the consolidated financial statements.


4

HEALTHWAYS, INC.
CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME (LOSS)
(In thousands, except earnings (loss) per share data)
(Unaudited)
 
 
 
Three Months Ended
 
 
Nine Months Ended
 
 
 
September 30,
 
 
September 30,
 
 
 
2016
 
 
2015
 
 
2016
 
 
2015
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Revenues
 
$
125,049
 
 
$
113,536
 
 
$
376,065
 
 
$
338,610
 
Cost of services (exclusive of depreciation and amortization of $1,334, $1,504, $4,548, and $4,404, respectively, included below)
 
 
89,153
 
 
 
78,954
 
 
 
269,411
 
 
 
236,361
 
Selling, general & administrative expenses
 
 
10,406
 
 
 
6,419
 
 
 
29,924
 
 
 
26,512
 
Depreciation and amortization
 
 
1,603
 
 
 
1,866
 
 
 
5,352
 
 
 
5,595
 
Restructuring and related charges
 
 
1,129
 
 
 
 
 
 
1,170
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Operating income
 
 
22,758
 
 
 
26,297
 
 
 
70,208
 
 
 
70,142
 
Interest expense
 
 
4,833
 
 
 
4,914
 
 
 
13,115
 
 
 
13,286
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Income before income taxes
 
 
17,925
 
 
 
21,383
 
 
 
57,093
 
 
 
56,856
 
Income tax expense
 
 
13,126
 
 
 
8,423
 
 
 
13,126
 
 
 
22,460
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Net income from continuing operations
 
 
4,799
 
 
 
12,960
 
 
 
43,967
 
 
 
34,396
 
Income (loss) from discontinued operations, net of income tax expense (benefit)
 
 
49,075
 
 
 
(22,103
)
 
 
(179,482
)
 
 
(46,336
)
Net income (loss) 
 
 
53,874
 
 
 
(9,143
)
 
 
(135,515
)
 
 
(11,940
)
Less: net income (loss) attributable to non-controlling interest
 
 
80
 
 
 
(117
)
 
 
496
 
 
 
(420)
 
Net income (loss) attributable to Healthways, Inc.
 
$
53,794
 
 
$
(9,026
)
 
$
(136,011
)
 
$
(11,520
)
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Earnings (loss) per share attributable to Healthways, Inc. - basic:
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  Continuing operations
 
$
0.13
 
 
$
0.36
 
 
$
1.21
 
 
$
0.96
 
Discontinued operations
 
$
1.32
 
 
$
(0.61
)
 
$
(4.94
)
 
$
(1.28
)
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Earnings (loss) per share attributable to Healthways, Inc. - diluted:
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Continuing operations
 
$
0.12
 
 
$
0.35
 
 
$
1.17
 
 
$
0.93
 
Discontinued operations
 
$
1.28
 
 
(0.60
)
 
$
(4.80
)
 
$
(1.25
)
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Comprehensive income (loss)
 
$
54,096
 
 
$
(10,442
)
 
$
(134,411
)
 
$
(14,494
)
Less: comprehensive income (loss) attributable to non-controlling interest
 
 
1
 
 
 
(284
)
 
 
648
 
 
 
(582
)
Comprehensive (loss) income attributable to Healthways, Inc.
 
$
54,095
 
 
$
(10,158
)
 
$
(135,059
)
 
$
(13,912
)
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Weighted average common shares
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
and equivalents:
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Basic
 
 
37,037
 
 
 
35,939
 
 
 
36,441
 
 
 
35,756
 
Diluted
 
 
38,421
 
 
 
36,514
 
 
 
37,505
 
 
 
36,853
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
See accompanying notes to the consolidated financial statements.
 
5


HEALTHWAYS, INC.
CONSOLIDATED STATEMENT OF CHANGES IN STOCKHOLDERS' EQUITY
For the Nine Months Ended September 30, 2016
(In thousands)
(Unaudited)

 
 
Preferred Stock
 
 
Common Stock
 
 
Additional Paid-in Capital
 
 
(Accumulated Deficit) Retained Earnings
 
 
Treasury Stock
 
 
Accumulated Other Comprehensive Loss
 
 
Non-controlling interest
 
 
Total
 
Balance, December 31, 2015
 
$
 
 
$
36
 
 
$
302,488
 
 
$
9,659
 
 
$
(28,182
)
 
$
(4,087
)
 
$
676
 
 
$
280,590
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Net loss attributable to Healthways, Inc.
 
 
 
 
 
 
 
 
 
 
 
(136,011
)
 
 
 
 
 
 
 
 
 
 
 
(136,011
)
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Net income attributable to non-controlling interest
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
496
 
 
 
496
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Other comprehensive income (loss), net of tax:
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Net change in fair value of interest rate swaps, net of income tax benefit of $111
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
170
 
 
 
 
 
 
170
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Foreign currency translation adjustment
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
782
 
 
 
152
 
 
 
934
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Total other comprehensive income
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
952
 
 
 
152
 
 
 
1,104
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Total comprehensive income (loss)
 
 
 
 
 
 
 
 
 
 
 
(136,011
)
 
 
 
 
 
952
 
 
 
648
 
 
 
(134,411
)
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Exercise of stock options
 
 
 
 
 
1
 
 
 
8,746
 
 
 
 —
 
 
 
 —
 
 
 
 —
 
 
 
 —
 
 
 
8,747
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Tax effect of stock options and restricted stock units
 
 
 
 
 
 
 
 
(6,714
)
 
 
 
 
 
 
 
 
 
 
 
 
 
 
(6,714
)
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Share-based employee compensation expense
 
 
 
 
 
 
 
 
15,367
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
15,367
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Issuance of CareFirst Warrants
 
 
 
 
 
 
 
 
192
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
192
 
                                                                 
Settlement of noncontrolling interest      
       
       
       
       
       
      (1,199     (1,199
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Balance, September 30, 2016
 
$
 
 
$
37
 
 
$
320,079
 
 
$
(126,352
 
$
(28,182
)
 
$
(3,135
)
 
$
125
 
 
$
162,572
 
 
See accompanying notes to the consolidated financial statements.
 
6

HEALTHWAYS, INC.
CONSOLIDATED STATEMENTS OF CASH FLOWS
(In thousands)
(Unaudited)

 
 
Nine Months Ended September 30,
 
 
 
2016
 
 
2015
 
Cash flows from operating activities:
 
 
 
 
 
 
Net income from continuing operations
 
$
43,967
 
 
$
34,396
 
Net loss from discontinued operations
 
 
(179,482
) 
 
 
(46,336
)
Adjustments to reconcile net income (loss) to net cash flows provided by operating activities, net of business acquisitions:
 
 
 
 
 
 
 
 
Depreciation and amortization
 
 
30,319
 
 
 
37,099
 
Amortization of deferred loan costs
 
 
1,645
 
 
 
1,481
 
Amortization of debt discount
 
 
5,618
 
 
 
5,308
 
Share-based employee compensation expense
 
 
15,367
 
 
 
7,539
 
Loss on sale of MeYou Health
 
 
4,826
 
 
 
 
Loss on sale of TPHS business
 
 
190,946
 
 
 
 
Equity in (income) loss from joint ventures
 
 
(271
)
 
 
20,443
 
Deferred income taxes
 
 
(89,013
)
 
 
(8,046
Decrease in accounts receivable, net
 
 
1,837
 
 
 
1,828
 
Decrease in other current assets
 
 
5,548
 
 
 
558
 
(Decrease) increase in accounts payable
 
 
(3,698
)
 
 
1,281
 
Decrease in accrued salaries and benefits
 
 
(10,419
)
 
 
(6,518
)
Increase (decrease) in other current liabilities
 
 
1,568
 
 
 
(7,216
)
Other
 
 
(5,642
)
 
 
(2,990
)
Net cash flows provided by operating activities
 
 
13,116
 
 
 
38,827
 
 
 
 
 
 
 
 
 
 
Cash flows from investing activities:
 
 
 
 
 
 
 
 
Acquisition of property and equipment
 
 
(12,860
)
 
 
(26,390
)
Investment in joint venture
 
 
(1,298
)
 
 
(6,075
)
Proceeds from sale of MeYou Health
 
 
5,156
 
 
 
 
Payments related to sale of TPHS business     (27,469 )       
Other
 
 
(787
)
 
 
(851
)
Net cash flows used in investing activities
 
 
(37,258
)
 
 
(33,316
)
 
 
 
 
 
 
 
 
 
Cash flows from financing activities:
 
 
 
 
 
 
 
 
Proceeds from issuance of long-term debt
 
 
396,491
 
 
 
461,456
 
Payments of long-term debt
 
 
(385,188
)
 
 
(468,334
)
Exercise of stock options
 
 
8,747
 
 
 
2,464
 
Deferred loan costs
 
 
(424
)
 
 
 
Proceeds from non-controlling interest
 
 
 
 
 
1,615
 
Repurchase of common stock
   
     
(1,833
Change in cash overdraft and other
 
 
2,556
 
 
 
1,005
 
Net cash flows provided by (used in) financing activities
 
 
22,182
 
 
 
(3,627
 
 
 
 
 
 
 
 
 
Effect of exchange rate changes on cash
 
 
817
 
 
 
(1,884
)
 
 
 
 
 
 
 
 
 
Less: net decrease in discontinued operations cash and cash equivalents
 
 
(1,637
)
 
 
(7
 
 
 
 
 
 
 
 
 
Net increase in cash and cash equivalents
 
 
494
 
 
 
7
 
 
 
 
 
 
 
 
 
 
Cash and cash equivalents, beginning of period
 
 
233
 
 
 
516
 
 
 
 
 
 
 
 
 
 
Cash and cash equivalents, end of period
 
$
727
 
 
$
523
 
 
 
 
 
 
 
 
 
 
See accompanying notes to the consolidated financial statements.
 
7

HEALTHWAYS, INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
(Unaudited)

 (1)
Basis of Presentation
 
Our financial statements and accompanying notes are prepared in accordance with generally accepted accounting principles in the United States ("U.S. GAAP").  In our opinion, the accompanying consolidated financial statements of Healthways, Inc. and its wholly-owned subsidiaries (collectively, "Healthways," the "Company," or such terms as "we," "us," or "our") reflect all adjustments consisting of normal, recurring accruals necessary for a fair statement. We have reclassified certain items in prior periods to conform to current classifications.
 
Our results from continuing operations do not include the results of the total population health services ("TPHS") business, which we sold on July 31, 2016. The TPHS business included our partnerships with Blue Zones, LLC and Dr. Dean Ornish (the Blue Zones Project by Healthways™ and Dr. Ornish's Program for Reversing Heart Disease™), the results of our joint venture with Gallup, Inc. ("Gallup") (see Note 8), our Navvis business, our MeYouHealth business and international operations, including our joint venture with SulAmerica. We sold the TPHS business, excluding Navvis and MeYouHealth, which had been previously sold separately to other buyers (see Notes 3 and 4). Results of operations for the TPHS business have been classified as discontinued operations for all periods presented in the condensed consolidated financial statements. 
 
On March 11, 2015, we formed a joint venture with SulAmérica, one of the largest independent insurers in Brazil, to sell total population health services to the Brazilian market. With its contribution, SulAmérica acquired a 49% interest in the joint venture, Healthways Brasil Servicos de Consultoria LTDA ("Healthways Brazil"). We determined that our interest in Healthways Brazil represented a controlling financial interest and, therefore, prior to selling the TPHS business, consolidated the financial statements of Healthways Brazil and presented a noncontrolling interest for the portion owned by SulAmérica. The net assets and results of operations of Healthways Brazil are included within discontinued operations in the accompanying consolidated financial statements.
 
We have omitted certain financial information that is normally included in financial statements prepared in accordance with U.S. GAAP but that is not required for interim reporting purposes. You should read the accompanying consolidated financial statements in conjunction with the financial statements and notes thereto included in our Annual Report on Form 10-K for the year ended December 31, 2015.

(2)
Recent Relevant Accounting Standards
 
In May 2014, the Financial Accounting Standards Board ("FASB") issued Accounting Standard Update ("ASU") No. 2014-09, which creates Accounting Standards Codification ("ASC") Topic 606, "Revenue from Contracts with Customers" ("ASC Topic 606") and supersedes ASC Topic 605, "Revenue Recognition." The provisions of ASC Topic 606 provide for a single comprehensive principles-based standard for the recognition of revenue across all industries and expanded disclosure about the nature, amount, timing and uncertainty of revenue, as well as certain additional quantitative and qualitative disclosures. The standard is effective for annual periods beginning after December 15, 2017, including interim periods within those years. We are currently evaluating the impact of adopting ASC Topic 606.
 
In August 2014, the FASB issued ASU No. 2014-15, "Presentation of Financial Statements – Going Concern: Disclosure of Uncertainties about an Entity's Ability to Continue as a Going Concern," which requires management to evaluate whether there is substantial doubt about the entity's ability to continue as a going concern and, if so, provide certain footnote disclosures. This ASU is effective for annual periods ending after December 15, 2016, including interim reporting periods thereafter. We do not anticipate that adopting this standard will have an impact on the financial statements and are currently evaluating the potential impact to our footnote disclosures.
 
In April 2015, the FASB issued ASU No. 2015-03, "Simplifying the Presentation of Debt Issuance Costs," which requires that debt issuance costs related to a recognized debt liability be presented in the balance sheet as a direct deduction from the carrying amount of the related debt liability, consistent with debt discounts. This ASU was adopted in the first quarter of 2016 and has been applied on a retrospective basis to all periods presented. The adoption of this standard resulted in debt issuance costs being presented as a direct deduction from the carrying amount of the related debt liability and totaled $2.9 million and $4.1 million as of September 30, 2016 and December 31, 2015, respectively.
8


In November 2015, the FASB issued ASU No. 2015-17, "Income Taxes: Balance Sheet Classification of Deferred Taxes" ("ASU 2015-17"), which simplifies the presentation of deferred income taxes by eliminating the separate classification of deferred income tax liabilities and assets into current and noncurrent amounts in the consolidated balance sheet. The amendments in ASU 2015-17 require that all deferred tax liabilities and assets be classified as noncurrent in the consolidated balance sheet. This ASU was adopted in the first quarter of 2016 and is presented prospectively.
 
In February 2016, the FASB issued ASU No. 2016-02, "Leases" ("ASU 2016-02"), which requires that lessees recognize assets and liabilities for leases with lease terms greater than twelve months in the statement of financial position. ASU 2016-02 also requires improved disclosures to help users of financial statements better understand the amount, timing and uncertainty of cash flows arising from leases. The update is effective for fiscal years beginning after December 15, 2018, including interim reporting periods within those years. We are currently evaluating the impact the adoption of ASU 2016-02 will have on our financial position, results of operations and cash flows.

In March 2016, the FASB Issued ASU No. 2016-09, "Compensation-Stock Compensation (Topic 718): Improvements to Employee Share-Based Payment Accounting" ("ASU 2016-09").  ASU 2016-09 changes how companies account for certain aspects of share-based payment awards to employees, including the accounting for income taxes, forfeitures, and statutory tax withholding requirements, as well as classification in the statement of cash flows. The standard is effective for interim and annual reporting periods beginning after December 15, 2016, although early adoption is permitted. We are currently assessing how the adoption of ASU 2016-09 will impact our our financial position, results of operations and cash flows.
 
In August 2016, the FASB issued ASU No. 2016-15, "Statement of Cash Flows" (Topic 230) ("ASU 2016-15").  ASU No. 2016-15 addresses how certain cash receipts and cash payments are presented and classified in the statement of cash flows. ASU No. 2016-15 is effective in the first quarter of 2018, with early adoption permitted, and is to be applied using a retrospective approach. The company is currently evaluating the potential effects of adopting the provisions of ASU No. 2016-15.

(3)
Discontinued Operations
 
On July 27, 2016, we entered into a Membership Interest Purchase Agreement (the "Purchase Agreement") with Sharecare, Inc. ("Sharecare"), and Healthways SC, LLC ("Healthways SC"), a newly formed Delaware limited liability company and wholly owned subsidiary of the Company, pursuant to which Sharecare acquired the TPHS business, which closed July 31, 2016 ("Closing").

Upon the completion of the transactions contemplated by the Purchase Agreement (the "Closing"), Sharecare delivered to the Company an Adjustable Convertible Equity Right (the "ACER") with an initial face value of $30.0 million, which will be convertible into shares of common stock of Sharecare 24 months after the Closing, at an initial conversion price of $249.87 per share, subject to customary adjustment for stock splits, stock dividends and other reorganizations of Sharecare.  Additionally, pursuant to the Purchase Agreement, we paid Sharecare $25.0 million in cash at the Closing to fund projected losses of the TPHS business during the year following the Closing (the "Transition Year"). Pursuant to Sharecare's acquisition of the TPHS business, our ownership interest in the joint venture with Gallup was transferred to Sharecare. We agreed with Sharecare to be responsible for two-thirds of the remaining payment obligations in respect of the purchase price to be paid in connection with Sharecare's acquisition of additional membership interest in the joint venture. This obligation is currently expected to result in aggregate payments by us of approximately $4.2 million, payable in five equal quarterly installments beginning in the fourth quarter of the 2016 calendar year and ending in the fourth quarter of the 2017 calendar year.
 
 The Purchase Agreement provided for post-closing adjustments based on (i) net working capital (which may result in a cash payment by the Company to Sharecare in the event of a net working capital deficit, or an increase in the face amount of the ACER in the event of a net working capital surplus), (ii) negative cash flows of the TPHS business during the Transition Year in excess of $25.0 million (which may result in a reduction in the face amount of the ACER up to a maximum reduction of $20.0 million), and (iii) any successful claims for indemnification by Sharecare (which may result in a reduction in the face amount of the ACER, unless the Company elects, in its sole discretion, to satisfy any such successful claims with cash payments).
 
9

We recorded the ACER net of the $20.0 million face value maximum negative cash flow adjustment, or $10.0 million face value, at its estimated fair value of $2.7 million as of Closing.  We have classified this amount as an equity receivable included in other assets.  We will record the $20.0 million face value contingent portion of the ACER at its estimated fair value as of the date the contingency is resolved, expected to be approximately 12 months from Closing. As of September 30, 2016, we recorded an estimate of the net working capital adjustment (a surplus), which increased the estimated fair value of the ACER to $6.0 million.  The working capital adjustment is subject to the review process defined in the Purchase Agreement.

The terms of the Purchase Agreement also impacted other existing contractual commitments, including the elimination of the minimum fee requirements under our technology services outsourcing agreement with HP Enterprise Services, LLC.
 
Effective July 31, 2016, in connection with the Closing, the Company and CareFirst Holdings, LLC ("CareFirst"), agreed to terminate the Investment Agreement (discussed in Note 7).  In connection with the Closing, all of the Commercial Agreements (defined in Note 7) between the Company and CareFirst relating to the TPHS business were transferred to Healthways SC that, effective at the Closing, became a wholly-owned subsidiary of Sharecare.  As a result, CareFirst will no longer have the opportunity to earn CareFirst Warrants in respect of the periods following the Closing.  The Convertible Note, the Registration Rights Agreement and the CareFirst Warrants previously issued to CareFirst were not affected by the termination of the Investment Agreement.
 
The following table presents the aggregate carrying amounts of the major classes of assets and liabilities related to the disposition of the TPHS business:
 
(in thousands)
 
 
December 31, 2015
 
Cash and cash equivalents
 
 
$
1,637
 
Accounts receivable, net
 
 
 
57,587
 
Prepaid expenses
 
 
 
2,545
 
Other current assets
 
 
 
2,722
 
Income taxes receivable
 
 
 
819
 
Deferred tax asset
 
 
 
492
 
Property and equipment
 
 
 
133,982
 
Long-term deferred tax asset
 
 
 
 
Other assets
 
 
 
10,705
 
Intangible assets, net
 
 
 
31,791
 
 
 
 
 
 
 
Total assets
 
 
$
242,280
 
 
 
 
 
 
 
Accounts payable
 
 
$
19,851
 
Accrued salaries and benefits
 
 
 
14,380
 
Accrued liabilities
 
 
 
21,690
 
Deferred revenue
 
 
 
6,931
 
Contract billings in excess of earned revenue
 
 
 
12,792
 
 
 
 
 
 
 
Total liabilities
 
 
$
75,644
 
 
10

The following table presents financial results of the TPHS business included in "income (loss) from discontinued operations" for the three and nine months ended September 30, 2016 and 2015.
 
 
 
Three Months Ended
 
 
Nine Months Ended
 
 
 
September 30,
 
 
September 30,
 
(in thousands)
 
2016
 
 
2015
 
 
2016
 
 
2015
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Revenues
 
$
23,146
 
 
$
82,846
 
 
$
151,897
 
 
$
245,707
 
Cost of services
 
 
28,971
 
 
 
80,099
 
 
 
172,968
 
 
 
242,786
 
Selling, general & administrative expenses
 
 
5,954
 
 
 
7,567
 
 
 
18,069
 
 
 
25,331
 
Depreciation and amortization
 
 
3,392
 
 
 
10,372
 
 
 
24,967
 
 
 
31,504
 
Restructuring and related charges
 
 
264
 
 
 
1,752
 
 
 
8,688
 
 
 
1,752
 
Equity in income (loss) from joint ventures     (32     (19,602 )     243        (20,443
Pretax loss on discontinued operations
 
 
(15,467
 
 
(36,546
)
 
 
(72,552
)
 
 
(76,109
)
Pretax loss on sale of MeYou Health business
 
 
 
 
 
 
 
 
(4,826
)
 
 
 
Pretax loss on sale of TPHS business
 
 
(42,209
 
 
 
 
 
(200,564
 
 
 
Total pretax loss on discontinued operations
 
 
(57,676
) 
 
 
(36,546
)
 
 
(277,942
)
 
 
(76,109
)
Income tax expense (benefit)
 
 
(106,751
)
 
 
(14,443
 
 
(98,460
)
 
 
(29,773
Income (loss) from discontinued operations, net of income tax expense (benefit)
 
$
49,075
 
 
$
(22,103
)
 
$
(179,482
 
$
(46,336
 
The depreciation, amortization and significant operating and investing non-cash items of the discontinued operations were as follows:
 
 
 
Nine Months Ended
 
(in thousands)
 
 September 30, 2016
 
 
 September 30, 2015
 
Depreciation and amortization on discontinued operations
 
$
24,967
 
 
$
31,504
 
Capital expenditures on discontinued operations
 
 
10,258
 
 
 
23,311
 
Share-based compensation on discontinued operations
 
 
10,165
 
 
 
2,039
 
 
 
 
 
 
 
 
 
 
 
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(4)
Goodwill

The change in carrying amount of goodwill during the year ended December 31, 2015 and the nine months ended September 30, 2016 is shown below:

(in thousands)
 
 
 
Balance, December 31, 2014
 
 
338,800
 
Navvis sale
 
 
(1,826
Balance, December 31, 2015
 
 
336,974
 
MeYou Health sale
 
 
(2,294
Balance, September 30, 2016
 
$
334,680
 

In November 2015, we sold Navvis Healthcare, LLC, a provider of healthcare consulting and advisory services, for $4.4 million in cash, which resulted in a gain of $1.9 million.

In June 2016, we sold the assets of MeYou Health, LLC, a wholly owned subsidiary of the Company that was engaged in the business of developing and delivering certain digital health applications, for $5.5 million in cash and additional contingent consideration up to $1.5 million, which resulted in a loss of $4.8 million. This loss is included in losses from discontinued operations in our consolidated statements of comprehensive income (loss) for the three and nine months ended September 30, 2016.
 
No goodwill was allocated to the disposal group in connection with the sale of the TPHS business.
 
As of September 30, 2016 and December 31, 2015, the gross amount of goodwill totaled $517.0 million and $519.3 million, respectively, and we had accumulated impairment losses of $182.4 million.

(5)
Share-Based Compensation

We currently have four types of share-based awards outstanding to our employees and directors: stock options, restricted stock units, restricted stock and market stock units. We believe that our share-based awards align the interests of our employees and directors with those of our stockholders.
 
We estimate share-based compensation expense based on the number of awards expected to vest, after consideration of expected forfeitures and estimated vesting of performance-based stock units. We recognize share-based compensation expense for the market stock units if the requisite service period is rendered, even if the market condition is never satisfied. For the three and nine months ended September 30, 2016, we recognized share-based compensation costs of $10.0 million and $15.4 million, respectively, of which $8.4 million and $10.2 million, respectively, are in discontinued operations and include the acceleration of vesting of all unvested stock options, market stock units and restricted stock units held by two former senior executives as of Closing who had accepted employment with Sharecare.  For the three and nine months ended September 30, 2015, we recognized share-based compensation costs of $1.7 million and $7.5 million, respectively.

12

A summary of our stock options as of September 30, 2016 and changes during the nine months then ended is presented below:

 
 
Shares
(000s)
 
 
Weighted-Average
Exercise Price
 
Weighted-Average Remaining Contractual Term
(years)
 
Aggregate Intrinsic Value
($000s)
 
Options
 
 
 
 
 
 
 
 
 
 
Outstanding at January 1, 2016
 
2,122
 
$
13.34
 
 
 
 
 
Granted
 
 
 
 
 
 
 
 
Exercised
 
(775)
 
 
11.45
 
 
 
 
 
Forfeited
 
(30)
 
 
13.93
 
 
 
 
 
Expired
 
(101)
 
 
21.30
 
 
 
 
 
Outstanding at September 30, 2016
 
1,216
 
 
13.88
 
5.01
$
16,151
 
Exercisable at September 30, 2016
 
1,019
 
$
13.96
 
4.72
$
13,583
 
 
There were no stock options granted during the nine months ended September 30, 2016.
 
The following table shows a summary of our restricted stock and restricted stock units as of September 30, 2016, as well as activity during the nine months then ended:

   
Restricted Stock and Restricted Stock Units
 
Nonvested Shares
 
Shares
(000s)
   
Weighted-
Average
Grant Date
Fair Value
 
Nonvested at January 1, 2016
   
1,618
   
$
12.35
 
Granted
   
946
     
12.09
 
Vested
   
(798
)
   
13.63
 
Forfeited
   
(502
)
   
12.54
 
Nonvested at September 30, 2016
   
1,264
   
$
13.11
 

13

Market stock units granted during the three months ended September 30, 2016 have a multi-year performance period ending in 2019 and vest three years from the grant date. 
 
The following table shows a summary of our market stock units as of September 30, 2016, as well as activity during the nine months then ended:

 
 
Market Stock Units
 
 
 
Shares
(000s)
 
 
Weighted-
Average
Grant Date
Fair Value
 
Nonvested at January 1, 2016
 
 
474
 
 
$
6.53
 
Granted
 
 
328
 
 
 
10.67
 
Vested
 
 
(221
)
 
 
10.38
 
Forfeited
 
 
(142
)
 
 
5.81
 
Nonvested at September 30, 2016
 
 
439
 
 
$
9.46
 
 
(6)
Income Taxes

For the three months ended September 30, 2016, we had an effective income tax rate from continuing operations of 73.2%, compared to an effective income tax rate of 39.4% for the three months ended September 30, 2015. During the three months ended September 30, 2016, we recorded an income tax benefit of $9.6 million related to a reversal of a domestic deferred tax asset valuation allowance initially recorded in the fourth quarter of 2015.  We believe that projected core earnings of the remaining Network Solutions business will be sufficient to utilize the net operating losses within the expiration period.  We recorded $15.6 million of incremental tax expense during the three months ended September 30, 2016 related to the first half of 2016, a period in which no income tax provision was recorded due to tax benefits on losses generated by discontinued operations.

For the nine months ended September 30, 2016, we had an effective tax income tax rate from continuing operations of 23.0%, compared to an effective income tax rate of 39.5% for the nine months ended September 30, 2015, primarily due to an income tax benefit of $9.6 million recognized during the nine months ended September 30, 2016 related to the reversal of a domestic deferred tax asset valuation allowance initially recorded in the fourth quarter of 2015

At September 30, 2016, we also made the determination to release substantially all of the valuation allowance on deferred tax assets generated from net operating losses incurred by the TPHS business for the period from January 1, 2016 through Closing. We retained a valuation allowance of approximately $10.0 million on deferred tax assets related to capital losses incurred in the sale of the TPHS business as well as on deferred tax assets in certain foreign jurisdictions. 

During the nine months ended September 30, 2016, we recorded an increase of $1.1 million to the valuation allowance on certain deferred tax assets in the U.S. Federal and state jurisdictions, as well as in certain foreign jurisdictions. At September 30, 2016, we had approximately $191.7 million of federal loss carryforwards and approximately $209.3 million of state loss carryforwards. 

We file income tax returns in the U.S. Federal jurisdiction and various state and foreign jurisdictions. Tax years remaining subject to examination in these major jurisdictions include 2013 to present.  
14

(7)
Long-Term Debt
 
The Company's long-term debt, net of unamortized deferred loan costs, consisted of the following at September 30, 2016 and December 31, 2015:
 
(in thousands)
 
September 30, 2016
 
 
December 31, 2015
 
Cash Convertible Notes, net of unamortized discount
 
$
135,912
 
 
$
130,296
 
CareFirst Convertible Note
 
 
20,000
 
 
 
20,000
 
Fifth Amended Credit Agreement:
 
 
 
 
 
 
 
 
Term Loan
 
 
65,000
 
 
 
80,000
 
Revolver
 
 
30,700
 
 
 
 
Capital lease obligations and other
 
 
1,667
 
 
 
5,374
 
 
 
 
253,279
 
 
 
235,670
 
Less: deferred loan costs
 
 
(2,851
)
 
 
(4,073
)
 
 
 
250,428
 
 
 
231,597
 
Less: current portion
 
 
(52,654
)
 
 
(23,308
)
 
 
$
197,774
 
 
$
208,289
 
 
Credit Facility

On June 8, 2012, we entered into the Fifth Amended and Restated Revolving Credit and Term Loan Agreement (as amended, the "Fifth Amended Credit Agreement").  As amended in August 2016 and further described below, the Fifth Amended Credit Agreement provides us with a $125 million revolving credit facility that includes a swingline sub facility of $20 million and a $75 million sub facility for letters of credit.  The Fifth Amended Credit Agreement also provides a $200 million term loan facility, $65 million of which remained outstanding at September 30, 2016, and an uncommitted incremental accordion facility of $100 million.
 
Borrowings under the Fifth Amended Credit Agreement generally bear interest at variable rates based on a margin or spread in excess of either (1) the one-month, two-month, three-month or six-month rate (or with the approval of affected lenders, nine-month or twelve-month rate) for Eurodollar deposits ("LIBOR", which may not be less than zero), or (2) the greatest of (a) the SunTrust Bank prime lending rate, (b) the federal funds rate plus 0.50% and (c) one-month LIBOR plus 1.00% (the "Base Rate"), as selected by the Company.  The LIBOR margin varies between 1.75% and 3.00%, and the Base Rate margin varies between 0.75% and 2.00%, depending on our leverage ratio.  The Fifth Amended Credit Agreement also provides for an annual fee ranging between 0.30% and 0.50% of the unused commitments under the revolving credit facility.  Extensions of credit under the Fifth Amended Credit Agreement are secured by guarantees from all of the Company's active domestic subsidiaries and by security interests in substantially all of the Company's and such subsidiaries' assets.

 On August 4, 2016, we entered into the Eighth Amendment to the Fifth Amended Credit Agreement (the "Eighth Amendment").  The Eighth Amendment (1) extends the expiration date of the Company's revolving credit facility and the maturity date of the Company's term loan facility under the Fifth Amended Credit Agreement from June 8, 2017 to June 8, 2018 (the "Extended Maturity Date") and (2) amends the definition of "Consolidated EBITDA" to include an add-back for certain non-cash gains and losses and to take into account certain financial consequences of the sale by the Company of its TPHS business to Sharecare pursuant to the terms of the Purchase Agreement.  The Eighth Amendment contemplated that some lenders might not agree to the Extended Maturity Date and preserved June 8, 2017 as the non-extended maturity date (the "Non-Extended Maturity Date") for such lenders.  Lenders holding $45.3 million of the revolving commitments and $25.4 million of outstanding term loans did not consent to the Extended Maturity Date.  On the Non-Extended Maturity Date, the revolving commitments of non-consenting revolving lenders will terminate and any outstanding term loans and revolving loans owed to non-consenting lenders must be paid in full.  The outstanding revolving loans under the revolving credit facility held by consenting lenders must be paid in full on June 8, 2018.  We are required to repay term loans in quarterly principal installments aggregating 2.500% of the original aggregate principal amount of the term loans ($5.0 million) during each of the remaining quarters prior to maturity on June 8, 2018, at which time the entire unpaid principal balance of the term loans held by consenting lenders is due and payable.
 
15

The impact of the Eighth Amendment on the maturity of our debt is reflected in our balance sheet.  As of September 30, 2016, availability under the revolving credit facility totaled $86.6 million.

The Fifth Amended Credit Agreement contains financial covenants that require us to maintain, as defined, specified ratios or levels of (1) total funded debt to EBITDA and (2) fixed charge coverage. The Fifth Amended Credit Agreement contains various other affirmative and negative covenants that are typical for financings of this type.  Among other things, the Fifth Amended Credit Agreement limits repurchases of our common stock and the amount of dividends that we can pay to holders of our common stock.

1.50% Cash Convertible Senior Notes Due 2018

On July 16, 2013, we completed the issuance of $150.0 million aggregate principal amount of cash convertible senior notes due 2018 (the "Cash Convertible Notes"), which bear interest at a rate of 1.50% per year, payable semiannually in arrears on January 1 and July 1 of each year, beginning on January 1, 2014. The Cash Convertible Notes will mature on July 1, 2018, unless earlier repurchased or converted into cash in accordance with their terms prior to such date. At the option of the holders, the Cash Convertible Notes are convertible into cash based on the conversion rate set forth below only upon occurrence of certain triggering events as defined in the Indenture dated as of July 8, 2013 by and between the Company and U.S. Bank National Association, none of which had occurred as of September 30, 2016. Accordingly, we have classified the Cash Convertible Notes as long-term debt at September 30, 2016 and December 31, 2015. The Cash Convertible Notes are not convertible into our common stock or any other securities under any circumstances. The initial cash conversion rate is approximately 51.38 shares of our common stock per $1,000 principal amount of Cash Convertible Notes (equivalent to an initial conversion price of approximately $19.46 per share of common stock). The Cash Convertible Notes are our senior unsecured obligations and rank senior in right of payment to any of our indebtedness that is expressly subordinated in right of payment to the Cash Convertible Notes. As a result of this transaction, we recognized deferred loan costs of approximately $3.9 million, which are being amortized over the term of the Cash Convertible Notes using the effective interest method.
 
Although the Cash Convertible Notes are not currently convertible, the Cash Convertible Notes will become convertible into cash during any calendar quarter (and only during such calendar quarter) if the last reported sale price of our common stock for at least 20 trading days (whether or not consecutive) during a period of 30 consecutive trading days ending on the last trading day of the immediately preceding calendar quarter is greater than or equal to approximately $25.30 per share.

The cash conversion feature of the Cash Convertible Notes (the "Cash Conversion Derivative") requires bifurcation from the Cash Convertible Notes in accordance with FASB ASC Topic 815, "Derivatives and Hedging" ("ASC Topic 815"), and is recorded in other long-term liabilities as a derivative liability and carried at fair value. The fair value of the Cash Conversion Derivative at the time of issuance of the Cash Convertible Notes was $36.8 million, which was recorded as a debt discount for purposes of accounting for the debt component of the Cash Convertible Notes. The debt discount is being amortized over the term of the Cash Convertible Notes using the effective interest method. For the nine months ended September 30, 2016, we recorded $5.6 million of interest expense related to the amortization of the debt discount based upon an effective interest rate of 5.7%. The net carrying amount of the Cash Convertible Notes at September 30, 2016 and December 31, 2015 was $135.9 million and $130.3 million, respectively, net of the unamortized discount of $14.1 million and $19.7 million, respectively.
 
In connection with the issuance of the Cash Convertible Notes, we entered into privately negotiated convertible note hedge transactions (the "Cash Convertible Notes Hedges"), which are cash-settled and are intended to reduce our exposure to potential cash payments that we would be required to make if holders elect to convert the Cash Convertible Notes at a time when our stock price exceeds the conversion price. The initial cost of the Cash Convertible Notes Hedges was $36.8 million. The Cash Convertible Notes Hedges are recorded in other assets as a derivative asset under FASB ASC Topic 815 and are carried at fair value.  See Note 9 for additional information regarding the Cash Convertible Notes Hedges and the Cash Conversion Derivative and their fair values as of September 30, 2016.

In July 2013, we also sold separate privately negotiated warrants (the "Warrants") initially relating, in the aggregate, to a notional number of shares of our common stock underlying the Cash Convertible Notes Hedges. The Warrants have an initial strike price of approximately $25.95 per share, which effectively increases the conversion price of the Cash Convertible Notes to a 60% premium to our stock price on July 1, 2013. The Warrants will be net share settled by issuing a number of shares of our common stock per Warrant corresponding to the excess of the market price per share of our common stock (as measured on each warrant exercise date under the terms of the Warrants) over the applicable strike price of the Warrants. The Warrants meet the definition of derivatives under the guidance in ASC Topic 815; however, because these instruments have been determined to be indexed to our own stock and meet the criteria for equity classification under ASC Topic 815, the Warrants have been accounted for as an adjustment to our additional paid-in-capital.

16

If the market value per share of our common stock exceeds the strike price of the Warrants, the Warrants will have a dilutive effect on net income per share, and the "treasury stock" method will be used in calculating the dilutive effect on earnings per share.

 CareFirst Convertible Note

On October 1, 2013, we entered into an Investment Agreement (the "Investment Agreement") with CareFirst Holdings, LLC ("CareFirst"), which was in addition to certain commercial agreements between us and CareFirst relating to, among other things, disease management and care coordination services (the "Commercial Agreements"). Pursuant to the Investment Agreement, we issued to CareFirst a convertible subordinated promissory note in the aggregate original principal amount of $20 million (the "CareFirst Convertible Note") for a purchase price of $20 million. The CareFirst Convertible Note bears interest at a rate of 4.75% per year, payable quarterly in arrears on March 31, June 30, September 30 and December 31 of each calendar year, beginning on December 31, 2013. The CareFirst Convertible Note may be prepaid only under limited circumstances and upon the terms and conditions specified therein. If the CareFirst Convertible Note has not been fully converted or redeemed in accordance with its terms, it will mature on October 1, 2019.  The CareFirst Convertible Note is subordinate in right of payment to the prior payment in full of (a) all of our indebtedness under the Fifth Amended Credit Agreement (as defined below) and (b) any other of our senior debt, which currently includes only the Cash Convertible Notes.
 
The CareFirst Convertible Note is convertible into shares of our common stock at the conversion rate determined by dividing (a) the sum of the portion of the principal to be converted and accrued and unpaid interest with respect to such principal by (b) the conversion price equal to $22.41 per share of our common stock.  The conversion price is subject to adjustment for stock splits, stock dividends, recapitalizations, reorganizations, reclassifications and similar events. In October 2016, subsequent to the third quarter of 2016, CareFirst elected to convert the full amount of the CareFirst Convertible Note into 892,458 shares of our common stock with a conversion price equal to $22.41 per share.
 
CareFirst had an opportunity to earn warrants to purchase shares of our common stock ("CareFirst Warrants") based on achievement of certain quarterly thresholds (the "Revenue Thresholds") for revenue derived from both the Commercial Agreements and from new business to us from third parties as a result of an introduction or referral to us by CareFirst (collectively, the "Quarterly Revenue").  If the Quarterly Revenue was greater than or equal to the applicable Revenue Threshold for any quarter ending on or prior to September 30, 2017, then we would issue to CareFirst a certain number of warrants exercisable for the number of shares of our common stock ("CareFirst Warrant Shares") determined in accordance with the terms of the Investment Agreement unless (i) CareFirst elected to receive a cash payment in accordance with the terms of the Investment Agreement or (ii) there was a change of control. The aggregate number of CareFirst Warrant Shares in any single 12-month period beginning on October 1, 2013 could not exceed 400,000, and the aggregate number of CareFirst Warrant Shares issuable pursuant to the Investment Agreement could not exceed 1,600,000. 
 
Also on October 1, 2013, in connection with the execution of the Investment Agreement, we entered into a Registration Rights Agreement (the "Registration Rights Agreement") with CareFirst, pursuant to which we agreed to use commercially reasonable efforts to cause any registration statement covering an underwritten offering of our common stock for our own account or for the account of any holder of our common stock (other than a registration statement on Form S-4 or Form S-8 or any successor thereto) to include those registrable common shares that any holder of such registrable common shares has requested to be registered. 
17

Effective July 31, 2016, in connection with the consummation of the sale of the TPHS business (as discussed in Note 3), the Investment Agreement was terminated, and all of the Commercial Agreements between the Company and CareFirst relating to the TPHS business were transferred to an entity that, effective at the Closing, became a wholly-owned subsidiary of Sharecare, the buyer of the TPHS business.  As a result, CareFirst no longer has the opportunity to earn the CareFirst Warrants in respect of the periods following the Closing. The Convertible Note, the Registration Rights Agreement and the CareFirst Warrants previously issued to CareFirst were not affected by the termination of the Investment Agreement. As of July 31, 2016, we had issued 630,586 CareFirst Warrants at a weighted average exercise price of $15.61, 39,903 of which were issued in 2016. In September 2016, CareFirst exercised its right to convert 590,683 CareFirst Warrants for a total of 218,162 shares of our common stock in accordance with the terms of the Investment Agreement.

(8)
Commitments and Contingencies
 
Summary

We are subject to contractual disputes, claims and legal proceedings that arise from time to time in the ordinary course of our business.  While we are unable to estimate a range of potential losses, we do not believe that any of the legal proceedings pending against us as of the date of this report, some of which are expected to be covered by insurance policies, will have a material adverse effect on our financial statements.  As these matters are subject to inherent uncertainties, our view of these matters may change in the future.

Contractual Commitments

In October 2012 we entered into a joint venture agreement with Gallup (the "Gallup Joint Venture") that required us to make payments over a five year period beginning January 2013. Pursuant to Sharecare's acquisition of the TPHS business, our ownership interest in the Gallup Joint Venture was transferred to Sharecare. We agreed with Sharecare to be responsible for two-thirds of the remaining payment obligations in respect of the purchase price to be paid in connection with Sharecare's acquisition of additional membership interest in the joint venture. This obligation is currently expected to result in aggregate payments by us of approximately $4.2 million, payable in five equal quarterly installments beginning in the fourth quarter of the 2016 calendar year and ending in the fourth quarter of 2017. The financial impact of the strategic relationship with Gallup and the Gallup Joint Venture are reflected in discontinued operations for all periods presented as each of these are a part of the sold TPHS business.

In May 2011, we entered into a ten-year applications and technology services outsourcing agreement with HP that contained minimum fee requirements. As a result of the sale of TPHS, the minimum fee requirements under our technology services outsourcing agreement with HP were eliminated. 
18

(9)
Fair Value Measurements

We account for certain assets and liabilities at fair value.  Fair value is defined as the price that would be received upon sale of an asset or paid upon transfer of a liability in an orderly transaction between market participants at the measurement date, assuming the transaction occurs in the principal or most advantageous market for that asset or liability.

Fair Value Hierarchy

The hierarchy below lists three levels of fair value based on the extent to which inputs used in measuring fair value are observable in the market. We categorize each of our fair value measurements in one of these three levels based on the lowest level input that is significant to the fair value measurement in its entirety. These levels are:

Level 1:  Quoted prices in active markets for identical assets or liabilities;
 
Level 2:  Quoted prices for similar instruments in active markets; quoted prices for identical or similar instruments in markets that are not active; and model-based valuation techniques in which all significant assumptions are observable in the market or can be corroborated by observable market data for substantially the full term of the assets or liabilities; and

Level 3:  Unobservable inputs that are supported by little or no market activity and typically reflect management's estimates of assumptions that market participants would use in pricing the asset or liability.
 
Assets and Liabilities Measured at Fair Value on a Nonrecurring Basis
 
In the third quarter of 2015, we observed factors causing a decline in future revenue projections as an indicator of an other than temporary impairment of the Gallup Joint Venture investment. Accordingly, we estimated the fair value of our investment using a discounted cash flow model. Estimating fair value requires significant judgments, including management's estimate of future cash flows, which is dependent on internal forecasts, estimation of the long-term growth rate for the joint venture, the useful life over which cash flows will occur, and determination of the weighted average cost of capital.
 
Based on our estimate of fair value prior to the disposition of the TPHS business, we determined that the present value of our remaining contractual cash obligations in the Gallup Joint Venture exceeded the estimated fair value, resulting in the recognition of a liability associated with the forward option to acquire additional membership interest (the "Gallup Derivative"). The Gallup Derivative was recorded as a derivative liability which has been reflected in our discontinued operations prior to the sale of the TPHS business in accordance with FASB ASC Topic 815 and was carried at fair value. Upon the sale of the TPHS business, we remain obligated for two-thirds of the remaining payment obligations in respect of the purchase price to be paid in connection with the acquisition of additional membership interest in the Gallup Joint Venture as discussed in Note 8 above.
19

Assets and Liabilities Measured at Fair Value

The following tables present our assets and liabilities measured at fair value at September 30, 2016, and December 31, 2015:

(In $000s)
September 30, 2016
 
Level 2
 
 
Level 3
 
 
Gross Fair
Value
 
 
Netting(1)
 
 
Net Fair
Value 
 
Assets:
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Cash Convertible Notes Hedges
 
 
 
 
 
73,869
 
 
 
73,869
 
 
 
 
 
 
73,869
 
Liabilities:
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Interest rate swap agreements
 
 
117
 
 
 
 
 
 
117
 
 
 
 
 
 
117
 
Cash Conversion Derivative
 
 
 
 
 
73,869
 
 
 
73,869
 
 
 
 
 
 
73,869
 
 
(In $000s)
December 31, 2015
 
Level 2
 
 
Level 3
 
 
Gross Fair
Value 
 
 
Netting(1)
 
 
Net Fair 
Value 
 
Assets:
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Foreign currency exchange contracts
 
$
284
 
 
$
 
 
$
284
 
 
$
(26
)
 
$
258
 
Cash Convertible Notes Hedges
 
 
 
 
 
12,632
 
 
 
12,632
 
 
 
 
 
 
12,632
 
Liabilities:
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Foreign currency exchange contracts
 
$
48
 
 
$
 
 
$
48
 
 
$
(26
)
 
$
22
 
Interest rate swap agreements
 
 
397
 
 
 
 
 
 
397
 
 
 
 
 
 
397
 
Cash Conversion Derivative
 
 
 
 
 
12,632
 
 
 
12,632
 
 
 
 
 
 
12,632
 
Gallup Derivative
 
 
 
 
 
6,339
 
 
 
6,339
 
 
 
 
 
 
6,339
 
 
(1) This column reflects the impact of netting derivative assets and liabilities by counterparty when a legally enforceable master netting agreement exists.

The fair values of forward foreign currency exchange contracts are valued using broker quotations of similar assets or liabilities in active markets.  The fair values of interest rate swap agreements are primarily determined based on the present value of future cash flows using internal models and third-party pricing services with observable inputs, including interest rates, yield curves and applicable credit spreads. The fair values of the Cash Convertible Notes Hedges, the Cash Conversion Derivative and the Gallup Derivative are measured using Level 3 inputs because these instruments are not actively traded. The Cash Convertible Notes Hedges and the Cash Conversion Derivative are valued using an option pricing model that uses observable and unobservable market data for inputs, such as expected time to maturity of the derivative instruments, the risk-free interest rate, the expected volatility of our common stock and other factors. The Gallup Derivative was valued as the difference in the present value of our remaining cash commitments and the fair value of such commitments. The Cash Convertible Notes Hedges and the Cash Conversion Derivative were designed such that changes in their fair values would offset one another, with minimal impact to the consolidated statements of comprehensive income (loss). Therefore, the sensitivity of changes in the unobservable inputs to the option pricing model for such instruments is mitigated.

20

The following table presents our financial instruments measured at fair value on a recurring basis using unobservable inputs (Level 3):

 $000s)
 
Balance at December 31, 2015
   
Purchases of Level 3 Instruments
   
Settlements of Level 3 Instruments
   
Gains/(Losses) Included in Earnings
   
Balance at September 30, 2016
 
Cash Convertible Notes Hedges
 
$
12,632
   
$
   
$
   
$
61,237
 
 
$
73,869
 
Cash Conversion Derivative
   
(12,632
)
   
     
     
(61,237
   
(73,869
)
Gallup Derivative
   
(6,339
)
   
     
6,339
     
     
 

The gains and losses included in earnings noted above represent the change in the fair value of these financial instruments and are recorded each period in the consolidated statements of comprehensive income (loss). The gains and losses on the Cash Convertible Notes Hedges and Cash Conversion Derivative have been recorded as selling, general and administrative expenses, and the settlement on the Gallup Derivative has been recorded as a part of discontinued operations.
 
Fair Value of Other Financial Instruments

In addition to interest rate swap agreements, the Cash Convertible Notes Hedges and the Cash Conversion Derivative, the estimated fair values of which are disclosed above, the estimated fair value of each class of financial instruments at September 30, 2016 was as follows:
 
Cash and cash equivalents – The carrying amount of $0.7 million approximates fair value because of the short maturity of those instruments (less than three months).
 
Long-term debt – The estimated fair value of outstanding borrowings under the Fifth Amended Credit Agreement, which includes a revolving credit facility and a term loan facility (see Note 7), and the Cash Convertible Notes are determined based on the fair value hierarchy as discussed above.  The revolving credit facility and the term loan facility are not actively traded and therefore are classified as Level 2 valuations based on the market for similar instruments.  The estimated fair value is based on the average of the prices set by the issuing bank given current market conditions and is not necessarily indicative of the amount we could realize in a current market exchange. The estimated fair value and carrying amount of outstanding borrowings under the Fifth Amended Credit Agreement at September 30, 2016 are $95.7 million and $95.7 million, respectively.
 
The Cash Convertible Notes are actively traded and therefore are classified as Level 1 valuations. The estimated fair value at September 30, 2016, was $217.8 million, which is based on the last traded price of the Cash Convertible Notes on September 30, 2016, and the par value was $150.0 million. The carrying amount of the Cash Convertible Notes at September 30, 2016, was $135.9 million, which is net of the debt discount discussed in Note 7.
 
The CareFirst Convertible Note was issued at its fair value of $20.0 million on October 1, 2013. It is not actively traded and is not based upon either an observable market, other than the market for our common stock, or on an observable index and is therefore classified as a Level 3 valuation. At September 30, 2016, the carrying amount of the CareFirst Convertible Note of $20.0 million approximated fair value. In October 2016, subsequent to the third quarter of 2016, CareFirst elected to convert the full amount of the CareFirst Convertible Note into shares of our common stock with a conversion price equal to $22.41 per share.
21


(10)
Derivative Investments and Hedging Activities

We use derivative instruments to manage risks related to interest, the Cash Convertible Notes, and, prior to the sale of the TPHS business, foreign currencies and the fair value of the Gallup Derivative. We account for derivatives in accordance with ASC Topic 815, which establishes accounting and reporting standards requiring that certain derivative instruments be recorded on the balance sheet as either an asset or liability measured at fair value. Additionally, changes in the derivative's fair value will be recognized currently in earnings unless specific hedge accounting criteria are met. As permitted under our master netting arrangements, the fair value amounts of our interest rate swaps and prior foreign currency options and/or forward contracts are presented on a net basis by counterparty in the consolidated balance sheets.
 
Derivative Instruments Designated as Hedging Instruments

Cash Flow Hedges

Derivative instruments that are designated and qualify as cash flow hedges are recorded at estimated fair value in the consolidated balance sheets, with the effective portion of the gains and losses being reported in accumulated other comprehensive income or loss ("accumulated OCI").  Cash flow hedges for all periods presented consist solely of interest rate swap agreements, which effectively modify our exposure to interest rate risk by converting a portion of our floating rate debt to fixed rate obligations, thus reducing the impact of interest rate changes on future interest expense. Under these agreements, we receive a variable rate of interest based on LIBOR (as defined in Note 7), and we pay a fixed rate of interest with an interest rate of 1.480% plus a spread (see Note 7).  We maintain an interest rate swap agreement with a current notional amount of $50.0 million and a termination date of December 30, 2016. Gains and losses on these interest rate swap agreements are reclassified to interest expense in the same period during which the hedged transaction affects earnings or the period in which all or a portion of the hedge becomes ineffective.  As of September 30, 2016, we expected to reclassify $0.05 million of net losses on interest rate swap agreements from accumulated OCI to interest expense within the next twelve months due to the scheduled payment of interest associated with our debt.

The following table shows the effect of our cash flow hedges on the consolidated balance sheets during the three and nine months ended September 30, 2016 and 2015:
 
(In $000s)
For the Three Months Ended
 
 
For the Nine Months Ended
 
Derivatives in Cash Flow Hedging Relationships
September 30, 2016
 
September 30, 2015
 
 
September 30, 2016
 
 
September 30, 2015
 
Loss related to effective portion of derivatives recognized in accumulated OCI, gross of tax effect
 
$
14
 
 
$
105
 
 
$
109
 
 
$
360
 
Loss related to effective portion of derivatives reclassified from accumulated OCI to interest expense, gross of tax effect
 
$
(126
)
 
$
(91
)
 
$
(390
)
 
$
(285
)
 
Gains and losses representing either hedge ineffectiveness or hedge components excluded from the assessment of effectiveness are recognized in current earnings.  During the three and nine months ended September 30, 2016 and 2015, there were no gains or losses on cash flow hedges recognized in our consolidated statements of comprehensive income (loss) resulting from hedge ineffectiveness.

22

Derivative Instruments Not Designated as Hedging Instruments

Our Cash Conversion Derivative, Cash Convertible Notes Hedges and prior to July 31, 2016,Gallup Derivative and foreign currency options and/or forward contracts, do not qualify for hedge accounting treatment under U.S. GAAP and are measured at fair value, with gains and losses recognized immediately in the consolidated statements of comprehensive income (loss). Other than the Gallup Derivative described in Note 9, these derivative instruments not designated as hedging instruments did not have a material impact on our consolidated statements of comprehensive income (loss) for the three and nine months ended September 30, 2016 and 2015.

The Cash Conversion Derivative is accounted for as a derivative liability and carried at fair value. In order to offset the risk associated with the Cash Conversion Derivative, we entered into Cash Convertible Notes Hedges, which are cash-settled and are intended to reduce our exposure to potential cash payments that we would be required to make if holders elect to convert the Cash Convertible Notes at a time when our stock price exceeds the conversion price. The Cash Convertible Notes Hedges are accounted for as a derivative asset and carried at fair value.
 
Prior to July 31, 2016 and the sale of the TPHS business, the Gallup Derivative was accounted for as a derivative liability and carried at fair value.

The gains and losses resulting from a change in fair values of the Cash Conversion Derivative and the Cash Convertible Notes Hedges are reported in the consolidated statements of comprehensive income (loss). The settlement on the Gallup Derivative has been recorded as a part of discontinued operations.

(In $000s)
 
Three Months Ended September 30, 2016
   
Nine Months Ended September 30, 2016
 
     
Statements of Comprehensive Income (Loss)
Classification
Cash Convertible Notes Hedges:
           
    
Net unrealized gain (loss)
 
$
67,399
     
61,237
 
Selling, general and administrative expenses
Cash Conversion Derivative:
               
                
Net unrealized gain (loss)
 
$
(67,399
)
   
(61,237
Selling, general and administrative expenses
Gallup Derivative:
                    
Net gain
   
4,823
     
4,823
 
Loss from discontinued operations

23

Prior to the sale of the TPHS business, we also entered into foreign currency options and/or forward contracts in order to minimize our earnings exposure to fluctuations in foreign currency exchange rates.  Our foreign currency exchange contracts required current period mark-to-market accounting, with any change in fair value being recorded each period in the consolidated statements of comprehensive income (loss) in selling, general and administrative expenses. We do not execute transactions or hold derivative financial instruments for trading or other purposes.
 
Financial Instruments
The estimated gross fair values of derivative instruments at September 30, 2016 and December 31, 2015, excluding the impact of netting derivative assets and liabilities when a legally enforceable master netting agreement exists, were as follows:
 
 
 
September 30, 2016
 
December 31, 2015
 
(In $000s)
 
 
Interest rate swap agreements
 
 
Cash Convertible Notes Hedges and Cash Conversion Derivative
 
 
Foreign currency exchange contracts
 
 
Interest rate swap agreements
 
 
Cash Convertible Notes Hedges and Cash Conversion Derivative
 
 
Gallup
Derivative
 
Assets:
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Derivatives not designated as hedging instruments:
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Other current assets
 
 
$
 
 
$
 
 
$
284
 
 
$
 
 
$
 
 
$
 
Other assets
 
 
 
 
 
 
73,869
 
 
 
 
 
 
 
 
 
12,632
 
 
 
 
Total assets
 
 
$
 
 
$
73,869
 
 
$
284
 
 
$
 
 
$
12,632
 
 
$
 
Liabilities:
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Derivatives not designated as hedging instruments:
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Accrued liabilities
 
 
$
 
 
$
 
 
$
48
 
 
$
 
 
$
 
 
$
3,323
 
Other long-term liabilities
 
 
 
 
 
 
73,869
 
 
 
 
 
 
 
 
 
12,632
 
 
 
3,016
 
Derivatives designated as hedging instruments:
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Accrued liabilities
 
 
 
117
 
 
 
 
 
 
 
 
 
397
 
 
 
 
 
 
 
Other long-term liabilities
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Total liabilities
 
 
$
117
 
 
$
73,869
 
 
$
48
 
 
$
397
 
 
$
12,632
 
 
$
6,339
 
 
See also Note 9 for more information on fair value measurements.
24

(11)
Earnings Per Share

The following is a reconciliation of the numerator and denominator of basic and diluted earnings per share for the three and nine months ended September 30, 2016 and 2015:
 
(In 000s, except per share data)
 
Three Months Ended
 
 
Nine Months Ended
 
 
 
September 30,
 
 
September 30,
 
 
September 30,
 
 
September 30,
 
 
 
2016
 
 
2015
 
 
2016
 
 
2015
 
Numerator:
 
 
 
 
 
 
 
 
 
 
 
 
Net income from continuing operations attributable to Healthways, Inc. - numerator for earnings per share
 
$
4,799
 
 
$
12,960
 
 
$
43,967
 
 
$
34,396
 
Net income (loss) from discontinued operations attributable to Healthways, Inc. - numerator for loss per share
 
$
48,995
 
 
$
(21,986
)
 
$
(179,978
) 
 
$
(45,916
)
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Denominator:
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Shares used for basic income per share
 
 
37,037
 
 
 
35,939
 
 
 
36,441
 
 
 
35,756
 
Effect of dilutive securities outstanding:
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Non-qualified stock options 
 
 
554
 
 
 
270
 
 
 
367
 
 
 
713
 
Restricted stock units
 
 
619
 
 
 
305
 
 
 
551
 
 
 
359
 
Market stock units
 
 
195
 
 
 
 
 
 
140
 
 
 
 
CareFirst Warrants 
 
 
16
 
 
 
 
 
 
6
 
 
 
25
 
Shares used for diluted income per share
 
 
38,421
 
 
 
36,514
 
 
 
37,505
 
 
 
36,853
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Earnings (loss) per share attributable to Healthways, Inc. - basic:
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Continuing operations
 
$
0.13
 
 
$
0.36
 
 
$
1.21
 
 
$
0.96
 
Discontinued operations
 
$
1.32
 
 
$
(0.61
)
 
$
(4.94
) 
 
$
(1.28
)
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Earnings (loss) per share attributable to Healthways, Inc. - diluted:
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Continuing operations
 
$
0.12
 
 
$
0.35
 
 
$
1.17
 
 
$
0.93
 
Discontinued operations
 
$
1.28
 
 
$
(0.60
)
 
$
(4.80
) 
 
$
(1.25
)
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Dilutive securities outstanding not included in the computation of loss per share because their effect is antidilutive:
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Non-qualified stock options
 
 
82
 
 
 
1,500
 
 
 
581
 
 
 
571
 
Restricted stock units
 
 
20
 
 
 
357
 
 
 
148
 
 
 
221
 
Market stock units     23       8       64       3  
Warrants related to Cash Convertible Notes
 
 
7,707
 
 
 
7,707
 
 
 
7,707
 
 
 
7,707
 
CareFirst Convertible Note
 
 
892
 
 
 
892
 
 
 
892
 
 
 
892
 
CareFirst Warrants
 
 
 
 
 
432
 
 
 
 
 
 
198
 
 
25

(12)
Accumulated OCI

 The following tables summarize the changes in accumulated OCI, net of tax, for the nine months ended September 30, 2016 and 2015:

(In $000s)
 
Net Change in Fair Value of Interest Rate Swaps
   
Foreign Currency Translation Adjustments
   
Total
 
Accumulated OCI, net of tax, as of January 1, 2016
 
$
(239
)
 
$
(3,848
)
 
$
(4,087
)
Other comprehensive (loss) income before reclassifications, net of tax
   
(66
)
   
782
     
716
 
Amounts reclassified from accumulated OCI, net of tax
   
236
     
     
236
 
Net increase in other comprehensive income (loss), net of tax
   
170
     
782
     
952
 
Accumulated OCI, net of tax, as of September 30, 2016
 
$
(69
)
 
$
(3,066
)
 
$
(3,135
)

(In $000s)
 
Net Change in Fair Value of Interest Rate Swaps
   
Foreign Currency Translation Adjustments
   
Total
 
Accumulated OCI, net of tax, as of January 1, 2015
 
$
(342
)
 
$
(1,706
)
 
$
(2,048
)
Other comprehensive loss before reclassifications, net of tax
   
(187
)
   
(2,377
)
   
(2,564
)
Amounts reclassified from accumulated OCI, net of tax
   
172
     
     
172
 
Net increase (decrease) in other comprehensive income (loss), net of tax
   
(15
)
   
(2,377
)
   
(2,392
)
Accumulated OCI, net of tax, as of September 30, 2015
 
$
(357
)
 
$
(4,083
)
 
$
(4,440
)

The following table provides details about reclassifications out of accumulated OCI for the nine months ended September 30, 2016 and 2015:

 
Nine Months Ended September 30,
 
Statement of Comprehensive 
(In $000s)
2016
 
2015
 
 Loss Classification
Interest rate swaps
 
$
390
   
$
285
 
Interest expense
 
   
(154
)
   
(113
)
Income tax benefit
 
 
$
236
   
$
172
 
Net of tax

See Note 10 for further discussion of our interest rate swaps.
26


(13)
Restructuring and Related Charges
 
In the third quarter of 2015, we began developing our reorganization and cost rationalization plan (the "2015 Restructuring Plan") that the Company committed to in October 2015, which was intended to improve efficiency and deliver greater value to our customers and stakeholders. Completion of the 2015 Restructuring Plan occurred with the completion of the sale of the TPHS business. We incurred a total of approximately $24 million in restructuring charges related to the 2015 Restructuring Plan, substantially all of which resulted in cash expenditures.
 
The following table shows the costs incurred for the nine months ended September 30, 2016 directly related to our 2015 Restructuring Plan and other restructuring costs:
 
(In $000s)
 
Severance and Other Employee-Related Costs
 
 
Consulting and
Other Costs (1)
 
 
Total
 
Accrued restructuring and related charges liability as of January 1, 2016
 
$
7,093
 
 
$
2,900
 
 
$
9,993
 
2015 Restructuring Plan charges
 
 
4,599
 
 
 
4,130
 
 
 
8,729
 
Cash payments
 
 
(6,646
)
 
 
(5,466
)
 
 
(12,112
)
Non-cash charges (2)
 
 
(9
 
 
 
 
 
(9
Accrued restructuring and related charges liability as of September 30, 2016
 
$
5,037
 
 
$
1,564
 
 
$
6,601
 
 
 
 
 
 
 
 
 
 
 
 
 
 
(1) Consulting and other costs primarily consist of third-party consulting charges incurred in connection with the 2015 Restructuring Plan. Consulting and other costs also include approximately $0.2 million of lease termination payments.
 
(2) Non-cash charges consist of share-based compensation costs.  
 
In the third quarter of 2016, we began the reorganization of our corporate support infrastructure (the "2016 Restructuring Plan"), which is intended to deliver greater value to our customers and stakeholders. We expect to incur a total of approximately $6.0 million to $7.0 million in restructuring charges related to the 2016 Restructuring Plan, with the majority of the charges expected to be incurred by the end of the fourth quarter of 2016 and the remainder in the first quarter of 2017. We expect that the total charges will consist of approximately $5.0 million to $6.0 million of severance and other employee-related costs and approximately $1.0 million in consulting and other costs. The 2016 Restructuring Plan is expected to create cost savings beginning in 2017, with total annualized savings of approximately $15.0 million to $16.0 million.
 
The following table shows the costs incurred for the nine months ended September 30, 2016 directly related to the 2016 Restructuring Plan:
 
(In $000s)
 
Severance and Other Employee-Related Costs
   
Consulting and
Other Costs (3)
   
Total
 
Accrued restructuring and related charges liability as of January 1, 2016
 
$
   
$
   
$
 
2016 Restructuring Plan charges
   
930
     
199
     
1,129
 
Cash payments
   
 
   
 
   
 
Accrued restructuring and related charges liability as of September 30, 2016
 
$
930
   
$
199
   
$
1,129
 

(3) Consulting and other costs primarily consist of third-party consulting charges incurred in connection with the 2016 Restructuring Plan. 
27

Item 2. Management's Discussion and Analysis of Financial Condition and Results of Operations

Overview

On July 27, 2016, the Company announced the completion of its strategic assessment that began in October 2015, culminating in the sale of its TPHS business pursuant to the Purchase Agreement with Sharecare, Inc. and Healthways SC. The businesses sold include our partnerships with Blue Zones, LLC and Dr. Dean Ornish (the Blue Zones Project by Healthways™ and Dr. Ornish's Program for Reversing Heart Disease™), as well as our joint venture with Gallup and international operations. The sale closed effective as of July 31, 2016. Additionally, in June 2016, we sold the assets of MeYou Health, LLC. Prior to these transactions, the Company was a provider of both network delivered solutions and TPHS which were collectively designed to help people improve their well-being, thereby improving their health and productivity and reducing their health-related costs. Our results from continuing operations do not include the results of the TPHS business that have been reported as discontinued operations for all periods presented.
 
During the third quarter of 2016, the Company initiated its corporate support infrastructure restructuring in order to appropriately support the new organization and expects to incur the majority of the remaining costs in the fourth quarter of 2016 and the balance in the first quarter of 2017.

Our retained Network Solutions business contains, among others, three large programs including the SilverSneakers® senior fitness program, the Prime Fitness program and the Physical Medicine access program. The SilverSneakers® senior fitness program is offered to members of Medicare Advantage, Medicare Supplement and Group Retiree plans. Our fitness networks encompass approximately 16,000 U.S. fitness center locations and more than 1,000 alternative locations providing classes only. We utilize the national network of fitness centers to also offer the Prime Fitness program through commercial health plans, employers and insurance exchanges. We also offer a Physical Medicine network of over 88,000 complementary, alternative, and physical medicine practitioners to serve individuals through health plans and employers who seek health services such as physical therapy, occupational therapy, speech therapy, chiropractic care, acupuncture and more.
28

Forward-Looking Statements

Management's Discussion and Analysis of Financial Condition and Results of Operations contains forward-looking statements, which are based upon management's current knowledge, assumptions, beliefs, estimates and expectations, involve a number of risks and uncertainties and are subject to the "safe harbor" provisions of the Private Securities Litigation Reform Act of 1995.  Forward-looking statements include all statements that are not historical statements of fact and those regarding the intent, belief or expectations of the Company, including, without limitation, all statements regarding the Company's future earnings and results of operations, and can be identified by the use of words like "may," "believe," "will," "expect," "project," "intend," "estimate," "anticipate," "plan," or "continue" and similar expressions.  Readers are cautioned that any such forward-looking statements are not guarantees of future performance and involve significant risks and uncertainties, and that actual results may vary from those in the forward-looking statements as a result of various factors, including, but not limited to:

·
our ability to estimate the costs associated with, and to implement and realize the anticipated benefits of, the sale of the TPHS business;
 
·
the effectiveness of management's strategies and decisions, including the decision to sell the TPHS business, and focus exclusively on the retained Network Solutions business;
 
·
the effectiveness of the ongoing reorganization of Network Solutions;
 
·
the risks associated with recent changes to our senior management team;
 
·
our ability to sign and implement new contracts for our solutions;
 
 
·
our ability to accurately forecast the costs required to successfully implement new contracts;
 
 
·
our ability to renew and/or maintain contracts with our customers under existing terms or restructure these contracts on terms that would not have a material negative impact on our results of operations;
 
 
·
our ability to effectively compete against other entities, whose financial, research, staff and marketing resources may exceed our resources;
 
 
·
our ability to accurately forecast our revenues, margins, earnings and net income, as well as any potential charges that we may incur as a result of changes in our business and leadership;
29

·
the impact of the Patient Protection and Affordable Care Act, as amended by the Health Care and Education Reconciliation Act of 2010 (the "PPACA"), on our operations and/or the demand for our services;
 
 
·
our ability to anticipate, change and respond to emerging trends for healthcare and the impact of the same on demand for our services;
 
 
·
the risks associated with deriving a significant concentration of our revenues from a limited number of customers;  
 
·
our ability to achieve estimated annualized revenue in backlog in the manner and within the timeframe we expect, which is based on certain estimates regarding the implementation of our services;
 
·
our ability and/or the ability of our customers to enroll participants and to accurately forecast their level of enrollment and participation in our programs in a manner and within the timeframe anticipated by us;
 
·
the ability of our customers to provide timely and accurate data that is essential to the operation and measurement of our performance under the terms of our contracts;
 
·
our ability to service our debt, make principal and interest payments as those payments become due and remain in compliance with our debt covenants;
 
·
the risks associated with changes in macroeconomic conditions, which may reduce the demand and/or the timing of purchases for our services from customers or potential customers, reduce the number of covered lives of our existing customers or restrict our ability to obtain additional financing;
 
·
the risks associated with the conditional cash conversion feature of the Cash Convertible Notes, which, if triggered, may adversely affect our liquidity, financial condition and results of operations;
 
·
counterparty risk associated with the Cash Convertible Notes Hedges, interest rate swap agreements and foreign currency exchange contracts;
 
30

·
the risks associated with valuation of the Cash Convertible Notes Hedges and the Cash Conversion Derivative, which may result in volatility to our consolidated statements of comprehensive income (loss) if these transactions do not completely offset one another;
 
·
the risks associated with certain derivatives carried at fair value, which may result in volatility to our consolidated statements of comprehensive income (loss);
 
·
our ability to integrate new or acquired businesses, services (including outsourced services) or technologies into our business and to accurately forecast the related costs;
 
·
our ability to anticipate and respond to strategic changes, opportunities and emerging trends in our industry and/or business and to accurately forecast the related impact on our revenues and earnings;
 
·
the impact of any impairment of our goodwill, intangible assets or other long-term assets;
 
·
our ability to develop new products and deliver and report outcomes on those products;
 
·
our ability to implement our integrated data and technology solutions platform within the required timeframe and expected cost estimates and to develop and enhance this platform and/or other technologies to meet evolving customer and market needs;
 
·
our ability to obtain adequate financing to provide the capital that may be necessary to support our operations and to support or guarantee our performance under new contracts;
 
·
unusual and unforeseen patterns of healthcare utilization by individuals with diseases or conditions for which we provide services;
 
·
the ability of our customers to maintain the number of covered lives enrolled in the plans during the terms of our agreements;
 
·
the risks associated with data privacy or security breaches, computer hacking, network penetration and other illegal intrusions of our information systems or those of third-party vendors or other service providers, which may result in unauthorized access by third parties to customer, employee or our information or patient health information and lead to enforcement actions, fines and other litigation against us;
 
·
the impact of any new or proposed legislation, regulations and interpretations relating to Medicare or Medicare Advantage;
 
31

·
the impact of future state and federal legislation and regulations applicable to our business, including PPACA, on our ability to deliver our services and on the financial health of our customers and their willingness to purchase our services;
 
 
·
current geopolitical turmoil, the continuing threat of domestic or international terrorism, and the potential emergence of a health pandemic or infectious disease outbreak;
 
 
·
the impact of legal proceedings involving us and/or our subsidiaries; and
 
 
·
other risks detailed in our Annual Report on Form 10-K for the fiscal year ended December 31, 2015, our Quarterly Report on Form 10-Q for the quarterly period ended September 30, 2016 in this report and our other filings with the Securities and Exchange Commission.
 
We undertake no obligation to update or revise any such forward-looking statements.

 Customer Contracts
 
Our fees are generally billed on a per member per month ("PMPM") basis, upon member participation, or upon a combination of both a PMPM and a fee for participation. For PMPM fees, we generally determine our contract fees by multiplying the contractually negotiated PMPM rate by the number of members covered by our services during the month.

Our contracts with health plans generally range from three to five years. Some of our contracts allow the customer to terminate early.

32

Business Strategy

Since October 2015, we were engaged in a comprehensive review of the Healthways organization: our business structure, costs, product offerings and delivery.  As a result of the assessment, effective as of July 31, 2016, we sold our TPHS business to Sharecare, a digital health company helping people manage all their healthcare in one place. The businesses sold include our partnerships with Blue Zones, LLC and Dr. Dean Ornish (the Blue Zones Project by Healthways™ and Dr. Ornish's Program for Reversing Heart Disease™), our joint venture with Gallup and international operations.

In September 2016, we announced our "A-B-C" strategy designed to add new members and build engagement among current members in our existing three networks - SilverSneakers®, Prime® Fitness and Physical Medicine - while at the same time identifying ways to collaborate with partners to develop new products and services.  We also announced a new organizational structure to support this strategy.   In addition to the A-B-C strategy, we are also focused on the needs of our health plan customers to meet the needs of their members as well as to provide a valuable service to improve the health and well-being of the consumers served by our networks and other products.
 
The degree of our engagement and model of support is based on our customers' needs and preferences.  Within our Network Solutions Business, we have approximately 16,000 U.S. fitness center locations and more than 1,000 alternative locations providing classes only. We utilize the fitness center national network to deliver the SilverSneakers ® Fitness proprietary curriculum and also offer the Prime Fitness program. 
 
Critical Accounting Policies

We describe our accounting policies in Note 1 of the Notes to the Consolidated Financial Statements in our Annual Report on Form 10-K for the fiscal year ended December 31, 2015.  We prepare the consolidated financial statements in conformity with U.S. GAAP, which requires us to make estimates and judgments that affect the reported amounts of assets and liabilities and related disclosures at the date of the financial statements and the reported amounts of revenues and expenses during the reporting period.  Actual results may differ from those estimates. 

Following the sale of the TPHS business, we believe the following accounting policies are the most critical in understanding the estimates and judgments that are involved in preparing our financial statements and the uncertainties that could impact our results of operations, financial condition and cash flows.
 
33

Revenue Recognition
 
We recognize revenue as services are performed when persuasive evidence of an arrangement exists, collectibility is reasonably assured and amounts are fixed or determinable.

Our fees are generally billed on a PMPM basis or upon member participation, such as for services provided under the Healthways® SilverSneakers® fitness solution. For PMPM fees, we generally determine our contract fees by multiplying the contractually negotiated PMPM rate by the number of members eligible for or receiving our services during the month. Some of our contracts, predominantly within the now disposed TPHS business, were performance-based and placed a portion of our fees at risk based on achieving certain performance metrics, cost savings, and/or clinical outcomes improvements.

We generally bill our customers each month for the entire amount of the fees contractually due for the prior month's enrollment, which typically includes the amount, if any, that is performance-based and may be subject to refund should we not meet performance targets. Fees for participation are typically billed in the month after the services are provided.
 
We recognize revenue as follows: (1) we recognize the fixed portion of PMPM fees and fees for service as revenue during the period we perform our services; and (2) we recognize performance-based revenue based on the most recent assessment of our performance, which represents the amount that the customer would legally be obligated to pay if the contract were terminated as of the latest balance sheet date.

We are currently evaluating the impact that the adoption of ASU No. 2014-09, (as discussed under "Recent Relevant Accounting Standards" below) will have on our revenue recognition policies and procedures, financial position, results of operations, cash flows, financial disclosures, and control framework.

34

Impairment of Intangible Assets and Goodwill
 
We review goodwill for impairment at the reporting unit level (operating segment or one level below an operating segment) on an annual basis (during the fourth quarter of our fiscal year) or more frequently whenever events or circumstances indicate that the carrying value may not be recoverable.  Following the sale of the TPHS business effective July 31, 2016, a single reporting unit remains. 

We may elect to perform a qualitative assessment to determine whether it is more likely than not that the fair value of the reporting unit is less than its carrying value. If we conclude during the qualitative assessment that this is the case or if we elect not to perform a qualitative assessment, we perform a quantitative review as described below.

During a quantitative review of goodwill, we estimate the fair value of a reporting unit using a combination of a discounted cash flow model and a market-based approach, and in the event we were to have multiple reporting units, we reconcile the aggregate fair value of our reporting units to our consolidated market capitalization. Estimating fair value requires significant judgments, including management's estimate of future cash flows, which is dependent on internal forecasts, estimation of the long-term growth rate for our business, the useful life over which cash flows will occur, and determination of our weighted average cost of capital, as well as relevant comparable company earnings multiples for the market-based approach. Changes in these estimates and assumptions could materially affect the estimate of fair value and potential goodwill impairment for a reporting unit.

If we determine that the carrying value of goodwill is impaired, we calculate any impairment using a fair-value based goodwill impairment test as required by U.S. GAAP. The fair value of a reporting unit is the price that would be received upon a sale of the unit as a whole in an orderly transaction between market participants at the measurement date.

Except for a trade name that has an indefinite life and is not subject to amortization, we amortize identifiable intangible assets over their estimated useful lives using the straight-line method. We assess the potential impairment of intangible assets subject to amortization whenever events or changes in circumstances indicate that the carrying values may not be recoverable. If we determine that the carrying value of other identifiable intangible assets may not be recoverable, we calculate any impairment using an estimate of the asset's fair value based on the estimated price that would be received to sell the asset in an orderly transaction between market participants.
 
35

Income Taxes

The objectives of accounting for income taxes are to recognize the amount of taxes payable or refundable for the current year and deferred tax liabilities and assets for the future tax consequences of events that have been recognized in an entity's financial statements or tax returns.  Accounting for income taxes requires significant judgment in evaluating tax positions and in determining income tax provisions, including determination of deferred tax assets, deferred tax liabilities and any valuation allowances that might be required against deferred tax assets.
 
Valuation allowances are established when necessary to reduce deferred tax assets to the amounts that are expected to be realized. When we determine that it is more likely than not that we will be able to realize our deferred tax assets in the future, an adjustment to the deferred tax asset would be made and reflected in income. This determination will be made by considering various factors, including the reversal and timing of existing temporary differences, tax planning strategies and estimates of future taxable income exclusive of the reversal of temporary differences.

We recognize the tax benefit from an uncertain tax position only if it is more likely than not that the tax position will be sustained on examination by the taxing authorities, based on the technical merits of the position. The tax benefits recognized in the financial statements from such a position should be measured based on the largest benefit that has a greater than 50% likelihood of being realized upon ultimate settlement.  U.S. GAAP also provides guidance on derecognition of income tax assets and liabilities, classification of current and deferred income tax assets and liabilities, accounting for interest and penalties associated with tax positions, and income tax disclosures.  Judgment is required in assessing the future tax consequences of events that have been recognized in our financial statements or tax returns. Variations in the actual outcome of these future tax consequences could materially impact our consolidated financial position, results of operations, and cash flows.
 
36

Share-Based Compensation

We measure and recognize compensation expense for all share-based payment awards over the required vesting period based on estimated fair values at the date of grant.  Determining the fair value of stock options at the grant date requires judgment in developing assumptions, which involve a number of variables.  These variables include, but are not limited to, the expected stock price volatility over the term of the awards and expected stock option exercise behavior.  In addition, we also use judgment in estimating the number of share-based awards that are expected to be forfeited.
 
 Results of Operations

The following table shows the components of the consolidated statements of comprehensive income (loss) for the three and nine months ended September 30, 2016 and 2015 expressed as a percentage of revenues for continuing operations.
 
 
Three Months Ended
 
 
Nine Months Ended
 
 
 
September 30,
 
 
September 30,
 
(Unaudited)
 
2016
 
 
2015
 
 
2016
 
 
2015
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Revenues
 
 
100.0
%
 
 
100.0
%
 
 
100.0
%
 
 
100.0
%
Cost of services (exclusive of depreciation and amortization included below)
 
 
71.3
%
 
 
69.5
%
 
 
71.6
%
 
 
69.8
%
Selling, general and administrative expenses
 
 
8.3
%
 
 
5.7
%
 
 
8.0
%
 
 
7.8
%
Depreciation and amortization
 
 
1.3
%
 
 
1.6
%
 
 
1.4
%
 
 
1.7
%
Restructuring charges
 
 
0.9
%
 
 
%
 
 
0.3
%
 
 
%
Operating income
 
 
18.2
%
 
 
23.2
%
 
 
18.7
%
 
 
20.7
%
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Interest expense
 
 
3.9
%
 
 
4.3
%
 
 
3.5
%
 
 
3.9
%
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Income before income taxes (1)
 
 
14.3
%
 
 
18.8
%
 
 
15.2
%
 
 
16.8
%
Income tax expense
 
 
10.5
%
 
 
7.4
%
 
 
3.5
%
 
 
6.6
%
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Net income from continuing operations (1)
 
 
3.8
 
 
11.4
 
 
11.7
 
 
10.2
Income (loss) from discontinued operations, net of income tax benefit
 
 
39.2
%
 
 
(19.5
)%
 
 
(47.7
)%
 
 
(13.7
)%
Net income (loss) (1)
 
 
43.1
%
 
 
(8.1
)%
 
 
(36.0
)%
 
 
(3.5
)%
Net income (loss) attributable to non-controlling interest
 
 
0.1
%
 
 
(0.1
)%
 
 
0.1
%
 
 
(0.1
)%
Net income (loss) attributable to Healthways, Inc. (1)
 
 
43.0
%
 
 
(8.0
)%
 
 
(36.2
)%
 
 
(3.4
)%
 
(1) Figures may not add due to rounding.
37

Revenues

Revenues from continuing operations increased $11.5 million, or 10.1%, and $37.5 million, or 11.1%, respectively, for the three and nine months ended September 30, 2016 compared to the same periods in 2015, primarily due to the following:
 
·
an increase in the number of members eligible to participate in our fitness solutions, primarily due to increased enrollment in Medicare Advantage resulting in growth in our customers' membership; and
 
·
an increase in average participation per member in our fitness solutions, primarily due to our initiatives to drive higher participation.
 
Cost of Services
 
Cost of services from continuing operations (excluding depreciation and amortization) as a percentage of revenues increased to 71.3% and 71.6% for the three and nine months ended September 30, 2016, respectively, compared to 69.5% and 69.8% for the three and nine months ended September 30, 2015. The increase is primarily due to:
 
·
an increase in the level of short-term incentive compensation expense based on the Company's projected financial performance against established targets; and
 
·
an increase in the average participation per member, and corresponding costs of participation, under certain contracts in which our compensation is fixed per member.

Selling, General and Administrative Expenses

Selling, general and administrative expenses from continuing operations as a percentage of revenues increased to 8.3% and 8.0%, respectively, for the three and nine months ended September 30, 2016, compared to 5.7% and 7.8%, respectively, for the three and nine months ended September 30, 2015. This increase is primarily due to an increase in the level of short-term incentive compensation expense (as described above) and increased post-sale separation and consulting expenses incurred during the nine months ended September 30, 2016 partially offset by the following:
 
·
expenses incurred in the first six months of 2015 associated with the termination in May 2015 of our former president and chief executive officer; and
 
·
legal fees incurred during the first quarter of 2015 related to a contractual dispute.
 
38

Depreciation and Amortization

Depreciation and amortization expense for continuing operations remained relatively consistent for the three and nine months ended September 30, 2016 compared to the same periods in 2015.
 
Restructuring and Related Charges
 
In the third quarter of 2016, we began implementing the 2016 Restructuring Plan and incurred approximately $1.1 million in restructuring charges related to this 2016 Restructuring Plan. We expect to incur a total of approximately $6.0 million to $7.0 million in restructuring charges related to the 2016 Restructuring Plan, with the majority of the charges expected to be incurred by the end of the fourth quarter of 2016 and the remainder in the first quarter of 2017. We expect that the total charges will consist of approximately $5.0 million to $6.0 million of severance and other employee-related costs and approximately $1.0 million in consulting and other costs. The 2016 Restructuring Plan is expected to create cost savings beginning in 2017, with total annualized savings of approximately $15.0 million to $16.0 million.
 
Interest Expense
 
Interest expense remained relatively consistent for the three and nine months ended September 30, 2016 compared to the same periods in 2015.
 
Income Tax Expense
 
For the three months ended September 30, 2016, we had an effective income tax rate from continuing operations of 73.2%, compared to an effective income tax rate of 39.4% for the three months ended September 30, 2015. During the three months ended September 30, 2016, we recorded an income tax benefit of $9.6 million related to a reversal of a domestic deferred tax asset valuation allowance initially recorded in the fourth quarter of 2015.  We believe that projected core earnings of the remaining Network Solutions business will be sufficient to utilize the net operating losses within the expiration period.  We recorded $15.6 million of incremental tax expense during the three months ended September 30, 2016 related to the first half of 2016, a period in which no income tax provision was recorded due to tax benefits on losses generated by discontinued operations.

For the nine months ended September 30, 2016, we had an effective tax income tax rate from continuing operations of 23.0%, compared to an effective income tax rate of 39.5% for the nine months ended September 30, 2015, primarily due to an income tax benefit of $9.6 million recognized during the nine months ended September 30, 2016 related to the reversal of a domestic deferred tax asset valuation allowance initially recorded in the fourth quarter of 2015
39

Income (Loss) from Discontinued Operations
 
The loss from discontinued operations represents the loss on the sale of the TPHS business of $200.6 million as well as the loss on the sale of the assets of MeYou Health, LLC of $4.8 million.  The loss from discontinued operations is net of income tax benefit and includes movements in the valuation allowance allocated to discontinued operations.
 
Liquidity and Capital Resources
 
As of September 30, 2016, we had a working capital deficit of $76.4 million and outstanding aggregate borrowings under our term loan of $39.9 million due by June 30, 2017.  As of October 25, 2016, we had cash of $18.8 million, and, based upon the pro-forma calculations of compliance with the restrictive covenants under our credit agreement we anticipate the ability to borrow under the revolving credit facility up to a maximum of $125.0 million through June 8, 2017 and up to a maximum of $79.7 million for the period beginning on June 9, 2017 and ending on June 8, 2018. We believe our cash on hand, cash flows from operations and available borrowings are sufficient to fund our operations, debt payments and capital expenditures for the next twelve months and the foreseeable future.
 
Cash Provided by Operating Activities
 
Operating activities for the nine months ended September 30, 2016, provided cash of $13.1 million, compared to $38.8 million for the nine months ended September 30, 2015. The decrease in cash provided by operating activities was primarily due to the following:
 
the estimated net working capital surplus upon the sale of the TPHS business for which we have recorded an increase in the face value of the ACER; and
 
accrued salaries and benefits paid to employees who transitioned to Sharecare upon the sale of the TPHS business.
 
Cash Used in Investing Activities
 
Investing activities during the nine months ended September 30, 2016, used $37.3 million in cash, which primarily consisted of the $25.0 million cash payment made to Sharecare at the Closing to fund projected losses of the TPHS business during the Transition Year as well as capital expenditures, most of which were associated with our TPHS Embrace platform.
 
40

Cash Provided by (Used in) Financing Activities
 
Financing activities during the nine months ended September 30, 2016, provided cash of $22.2 million primarily due to net borrowings under the Fifth Amended Credit Agreement as well as the change in our cash overdraft position.
 
Credit Facility
 
For a detailed description of the Fifth Amended Credit Agreement, refer to Note 7 of the Notes to Consolidated Financial Statements in this report.  The Fifth Amended Credit Agreement contains financial covenants that require us to maintain specified ratios or levels at September 30, 2016 of (1) a maximum total funded debt to EBITDA of 3.75 and (2) a minimum total fixed charge coverage of 1.50. We were in compliance with all of the financial covenant requirements of the Fifth Amended Credit Agreement as of September 30, 2016. 
 
Cash Convertible Senior Notes
 
For a detailed description of the Cash Convertible Notes, Cash Convertible Notes Hedges, Cash Conversion Derivative, and Warrants entered into in July 2013, refer to Note 7 of the Notes to Consolidated Financial Statements in this report. Aside from the initial premium paid, we will not be required to make any cash payments under the Cash Convertible Notes Hedges and could be entitled to receive an amount of cash from the option counterparties generally equal to the amount by which the market price per share of common stock exceeds the strike price of the Cash Convertible Note Hedges during the relevant valuation period. The strike price under the Cash Convertible Notes Hedges is initially equal to the conversion price of the Cash Convertible Notes. Although the Cash Convertible Notes are not currently convertible, the Cash Convertible Notes will become convertible into cash during any calendar quarter (and only during such calendar quarter) if the last reported sale price of our common stock for at least 20 trading days (whether or not consecutive) during a period of 30 consecutive trading days ending on the last trading day of the immediately preceding calendar quarter is greater than or equal to approximately $25.30 per share. The estimated fair value based on the last traded price of the Cash Convertible Note at September 30, 2016 was $217.8 million (as discussed in Note 9 of the Notes to Consolidated Financial Statements in this report). Additionally, if the market price per share of our common stock exceeds the strike price of the Warrants on any warrant exercise date, we will be obligated to issue to the option counterparties a number of shares based on the amount by which the then-current market price per share of our common stock exceeds the then-effective strike price of each Warrant. We will not receive any additional proceeds if the Warrants are exercised.
 
CareFirst Convertible Note
 
For a description of the CareFirst Convertible Note and CareFirst Warrants, refer to Note 7 of the Notes to Consolidated Financial Statements in this report.
 
General
 
We believe that cash flows from operating activities, our available cash, and our anticipated available credit under the Fifth Amended Credit Agreement will continue to enable us to meet our contractual obligations and fund our current operations and debt payments for at least the next 12 months.  We cannot assure you that we would always be able to secure additional financing if needed and, if such funds were available, whether the terms or conditions would be acceptable to us.
 
If contract development accelerates or acquisition opportunities arise, we may need to issue additional debt or equity securities to provide the funding for these increased growth opportunities. We may also issue debt or equity securities in connection with future acquisitions or strategic alliances.  We cannot assure you that we would be able to issue additional debt or equity securities on terms that would be acceptable to us.
 
41

Recent Relevant Accounting Standards

In May 2014, the FASB issued ASU No. 2014-09, which creates ASC Topic 606 and supersedes ASC Topic 605, "Revenue Recognition." The provisions of ASC Topic 606 provide for a single comprehensive principles-based standard for the recognition of revenue across all industries and expanded disclosure about the nature, amount, timing and uncertainty of revenue, as well as certain additional quantitative and qualitative disclosures. The standard is effective for annual periods beginning after December 15, 2017, including interim periods within those years. We are currently evaluating the impact of adopting ASC Topic 606.
 
In August 2014, the FASB issued ASU No. 2014-15, "Presentation of Financial Statements – Going Concern: Disclosure of Uncertainties about an Entity's Ability to Continue as a Going Concern," which requires management to evaluate whether there is substantial doubt about the entity's ability to continue as a going concern and, if so, provide certain footnote disclosures. This ASU is effective for annual periods ending after December 15, 2016, including interim reporting periods thereafter. We do not anticipate that adopting this standard will have an impact on the financial statements and are currently evaluating the potential impact to our footnote disclosures.
 
In April 2015, the FASB issued ASU No. 2015-03, "Simplifying the Presentation of Debt Issuance Costs," which requires that debt issuance costs related to a recognized debt liability be presented in the balance sheet as a direct deduction from the carrying amount of the related debt liability, consistent with debt discounts. This ASU was adopted in the first quarter of 2016 and has been applied on a retrospective basis to all periods presented. The adoption of this standard resulted in debt issuance costs being presented as a direct deduction from the carrying amount of the related debt liability and totaled $2.9 million and $4.1 million as of September 30, 2016 and December 31, 2015, respectively.

In November 2015, the FASB issued ASU No. 2015-17, which simplifies the presentation of deferred income taxes by eliminating the separate classification of deferred income tax liabilities and assets into current and noncurrent amounts in the consolidated balance sheet. The amendments in ASU 2015-17 require that all deferred tax liabilities and assets be classified as noncurrent in the consolidated balance sheet. This ASU was adopted in the first quarter of 2016 and presented prospectively.
 
In February 2016, the FASB issued ASU No. 2016-02, which requires that lessees recognize assets and liabilities for leases with lease terms greater than twelve months in the statement of financial position. ASU 2016-02 also requires improved disclosures to help users of financial statements better understand the amount, timing and uncertainty of cash flows arising from leases. The update is effective for fiscal years beginning after December 15, 2018, including interim reporting periods within those years. We are currently evaluating the impact the adoption of ASU 2016-02 will have our financial position, results of operations and cash flows.

In March 2016, the FASB Issued ASU No. 2016-09.  ASU 2016-09 changes how companies account for certain aspects of share-based payment awards to employees, including the accounting for income taxes, forfeitures, and statutory tax withholding requirements, as well as classification in the statement of cash flows. The standard is effective for interim and annual reporting periods beginning after December 15, 2016, although early adoption is permitted. We are currently assessing how the adoption of ASU 2016-09 will impact our our financial position, results of operations and cash flows.
 
In August 2016, the FASB issued ASU No. 2016-15. ASU No. 2016-15 addresses how certain cash receipts and cash payments are presented and classified in the statement of cash flows. ASU No. 2016-15 is effective in the first quarter of 2018, with early adoption permitted, and is to be applied using a retrospective approach. The company is currently evaluating the potential effects of adopting the provisions of ASU No. 2016-15.
42

 
Item 3.
Quantitative and Qualitative Disclosures About Market Risk

We are subject to market risk related to interest rate changes, primarily as a result of the Fifth Amended Credit Agreement.  Borrowings under the Fifth Amended Credit Agreement generally bear interest at variable rates based on a margin or spread in excess of either (1) one-month, two-month, three-month or six-month (or with the approval of affected lenders, nine-month or twelve-month) LIBOR or (2) the greatest of (a) the SunTrust Bank prime lending rate, (b) the federal funds rate plus 0.50% and (c) the Base Rate, as selected by the Company.  The LIBOR margin varies between 1.75% and 3.00%, and the Base Rate margin varies between 0.75% and 2.00%, depending on our leverage ratio. 

In order to reduce our interest rate exposure under the Fifth Amended Credit Agreement, we have entered into interest rate swap agreements effectively converting a portion of our floating rate debt to fixed obligations with an interest rate of 1.480% plus a spread.

We estimate that a one-point interest rate change would have resulted in a change in interest expense of approximately $0.4 million for the nine months ended September 30, 2016.

Item 4.
Controls and Procedures

Evaluation of Disclosure Controls and Procedures

Our management, with the participation of our chief executive officer and interim chief financial officer, has reviewed and evaluated the effectiveness of our "disclosure controls and procedures" (as defined in Rule 13a-15(e) and 15d-15(e) promulgated under the Securities Exchange Act of 1934, as amended (the "Exchange Act")) as of September 30, 2016.  Based on that evaluation, our chief executive officer and interim chief financial officer have concluded that our disclosure controls and procedures were effective as of September 30, 2016.  They are designed to ensure that information required to be disclosed in the reports that the Company files or submits under the Exchange Act is recorded, processed, summarized and reported within the time periods specified in the U.S. Securities and Exchange Commission's rules and forms and to ensure that information required to be disclosed in the reports that the Company files or submits under the Exchange Act is accumulated and communicated to management, including our chief executive officer and interim chief financial officer, to allow timely decisions regarding required disclosure.
43

Changes in Internal Control over Financial Reporting

Except for the controls within the TPHS Business, there have been no changes in our internal controls over financial reporting during the three months ended September 30, 2016, that have materially affected, or are reasonably likely to materially affect, our internal control over financial reporting.

Part II
Other Information
 
Item 1.
Legal Proceedings

We are subject to contractual disputes, claims and legal proceedings that arise from time to time in the ordinary course of our business.  While we are unable to estimate a range of potential losses, we do not believe that any of the legal proceedings pending against us as of the date of this report, some of which are expected to be covered by insurance policies, will have a material adverse effect on our financial statements.  As these matters are subject to inherent uncertainties, our view of these matters may change in the future.

44

Item 1A.
Risk Factors
 
Reference is made to Part I, Item 1A. "Risk Factors" included in our Annual Report on Form 10-K for the year ended December 31, 2015, as updated by Part II, Item 1A. "Risk Factors" included in our Quarterly Report on Form 10-Q for the quarterly period ended June 30, 2016 for information concerning risk factors. The risks previously reported and described in our Annual Report on Form 10-K for the fiscal year ended December 31, 2015, as updated by our Quarterly Report on Form 10-Q for the quarterly period ended June 30, 2016, and in this report are not the only risks facing our business. Additional risks and uncertainties not currently known to us or those we currently deem to be immaterial may also materially and adversely affect our business operations.

Revised Risk Factors

The following risk factors included in the Company's Annual Report on Form 10-K for the year ended December 31, 2015 have changed and are restated in their entirety as follows:
 
The performance of our business and the level of our indebtedness could prevent us from meeting the obligations under our credit agreement or the cash convertible senior notes or have an adverse effect on our future financial condition, our ability to raise additional capital, or our ability to react to changes in the economy or our industry.

On June 8, 2012, we entered into the Fifth Amended and Restated Revolving Credit and Term Loan Agreement (as amended, the "Fifth Amended Credit Agreement"). On July 16, 2013, we completed the issuance of $150.0 million aggregate principal amount of cash convertible senior notes due 2018 (the "Cash Convertible Notes"). As of September 30, 2016, our long-term debt under these arrangements, including the current portion but excluding the debt discount, was $245.7 million.

Our ability to service our indebtedness (including the debt outstanding under the Fifth Amended Credit Agreement and the Cash Convertible Notes) will depend on our ability to generate cash in the future.  We cannot assure you that our business will generate sufficient cash flow from operations or that future borrowings will be available in an amount sufficient to enable us to service our indebtedness or to fund other liquidity needs.

The Fifth Amended Credit Agreement contains various financial covenants, restricts the payment of dividends, and limits the amount of repurchases of our common stock.  A breach of any of these covenants could result in a default under the Fifth Amended Credit Agreement in which all amounts outstanding under the Fifth Amended Credit Agreement may become immediately due and payable and all commitments under the Fifth Amended Credit Agreement to extend further credit may be terminated. In addition, a payment default, including an acceleration following an event of default, under the Fifth Amended Credit Agreement or under our indenture for the Cash Convertible Notes could each trigger an event of default under the other debt instrument, which could result in the principal of and the accrued and unpaid interest on such debt becoming due and payable.

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Our indebtedness could adversely affect our future financial condition or our ability to react to changes in the economy or industry by, among other things:

increasing our vulnerability to a downturn in general economic conditions, loss of revenue and/or profit margins in our business, or to increases in interest rates, particularly with respect to the portion of our outstanding debt that is subject to variable interest rates;
 
potentially limiting our ability to obtain additional financing or to obtain such financing on favorable terms;
 
causing us to dedicate a portion of future cash flow from operations to service or pay down our debt, which reduces the cash available for other purposes, such as operations, capital expenditures, and future business opportunities; and
 
possibly limiting our ability to adjust to changing market conditions and placing us at a competitive disadvantage compared to our competitors who may be less leveraged.
 
The conditional cash conversion feature of the Cash Convertible Notes, if triggered, may adversely affect our liquidity, financial condition and operating results.

In the event the Cash Conversion Derivative is triggered, holders of Cash Convertible Notes will be entitled to convert the Cash Convertible Notes at any time during specified periods at their option.  Although the Cash Convertible Notes are not currently convertible, the Cash Convertible Notes will become convertible into cash during any calendar quarter (and only during such calendar quarter) if the last reported sale price of our common stock for at least 20 trading days (whether or not consecutive) during a period of 30 consecutive trading days ending on the last trading day of the immediately preceding calendar quarter is greater than or equal to approximately $25.30 per share. The last reported sale price of our common stock as reported on Nasdaq on November 1, 2016 was $23.80 per share. If one or more holders elect to convert their Cash Convertible Notes, we would be required to pay cash to settle any such conversion, which could adversely affect our liquidity. In addition, even if holders do not elect to convert their Cash Convertible Notes, we would be required under applicable accounting rules to reclassify the outstanding principal of the Cash Convertible Notes that are convertible as a current rather than long-term liability, which could result in a material reduction of our net working capital and result in a material adverse effect on our financial condition and results of operations.
 
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Item 2.
Unregistered Sales of Equity Securities and Use of Proceeds
 
Pursuant to the Investment Agreement with CareFirst (as described in Note 7 of the Notes to Consolidated Financial Statements included in this report), CareFirst had an opportunity to earn warrants based on achievement of Revenue Thresholds for Quarterly Revenue. In September 2016, CareFirst exercised its right to convert 590,683 CareFirst Warrants for a total of 218,162 shares of our common stock in accordance with the terms of the Investment Agreement. The issuance of shares of the Company common stock as a result of the conversion of the CareFirst Warrants was exempt from registration under Section 4(a)(2) of the Securities Act of 1933, as amended, because it was a transaction not involving a public offering.

Item 3.
Defaults Upon Senior Securities

Not Applicable.

Item 4.
Mine Safety Disclosures

Not Applicable.

Item 5.
Other Information

Not Applicable.
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Item 6.
Exhibits

(a)
Exhibits

10.1
 
Employment Agreement between the Company and Robert E. Dries (filed herewith)
 
 
 
10.2   Separation and Release Agreement between the Company and Robert E. Dries (filed herewith)
     
10.3   Separation and Release Agreement effective August 8, 2016 between the Company and Alfred Lumsdaine (filed herewith)
     
10.4
 
Amendment to Separation and Release Agreement dated October 10, 2016 between the Company and Alfred Lumsdaine (filed herewith) 
 
 
 
10.5   Amendment to Separation and Release Agreement dated October 16, 2016 between the Company and Alfred Lumsdaine (filed herewith)
     
31.1
 
Certification of Chief Executive Officer pursuant to Rule 13a-14(a) and Rule 15d-14(a) of the Securities Exchange Act of 1934, as amended
 
 
 
31.2
 
Certification of Interim Chief Financial Officer pursuant to Rule 13a-14(a) and Rule 15d-14(a) of the Securities Exchange Act of 1934, as amended
 
 
 
32
 
Certification of Chief Executive Officer and Interim Chief Financial Officer pursuant to 18 U.S.C 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002
     
101.INS
 
XBRL Instance Document
     
101.SCH  
XBRL Taxonomy Extension Schema
     
101.CAL  
XBRL Taxonomy Extension Calculation Linkbase
     
101.DEF  
XBRL Taxonomy Extension Definition Linkbase
     
101.LAB  
XBRL Taxonomy Extension Label Linkbase
     
101.PRE
 
XBRL Taxonomy Extension Presentation Linkbase
 

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SIGNATURES

Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned hereunto duly authorized.

 
 
 
 
Healthways, Inc.
 
 
 
 
(Registrant)
 
 
 
 
 
Date
  November 8, 2016
 
By
/s/ Glenn Hargreaves
 
 
 
 
 
 
 
 
 
Interim Chief Financial Officer
 
 
 
 
(Principal Financial Officer)
 
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